P Praxis·MD
● Active Type 1 · Individual

Jennifer Wagner, LPC, LCDC

Counselor·Atlanta, TX· NPI 1508392135 · Enumerated 2017 · 9 years on NPI
Wagner is 1 of 9 counselor providers in Atlanta and 1 of 23131 in Texas.
NPI age
9 years
Enumerated 2017-05-02
Primary specialty
Counselor
Plus 1 subspecialty
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-08-03
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 23131 active counselor providers in Texas.

NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
1
In the 20% of peers with subspecialties

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Practice location
702 Holly St
Atlanta, TX 755512308
📞 9032787795
Mailing address
Po Box 777
Atlanta, TX 755510777

Specialties

  • Counselor Primary
    Definition to come...
    TX license #78248 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    TX license #13846 taxonomy 101YA0400X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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