NPPES file of Aug 9, 2026

Derrick Wagoner, LPCC

Mental Health Counselor · Glasgow, KY

Derrick Wagoner, LPCC is a mental health counselor with a practice address in Glasgow, Kentucky, and NPI 1033529813, issued on May 2, 2014. Check the license (Kentucky 172294, as entered in NPPES) with the Kentucky board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1033529813
Name
Derrick Wagoner
Credential
LPCC
Primary taxonomy
Mental Health Counselor 101YM0800X
License numbers
172294 KY
1839 KY
Self-reported in NPPES; status is on the state search
Practice location
104 Reynolds RD, Glasgow, KY 42141
Phone
(270) 678-4801
Enumerated
May 2, 2014
Record last updated
May 12, 2021 (not updated in 5 years: call before relying on the address or phone)
Fax
(270) 678-3866
Medicare enrollment
Enrolled (PECOS I20240913000574); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest mental health counselor records → All 3,794 in Kentucky → Look up another NPI →

Also registered at 104 Reynolds RD

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sarah Absten Johnson, LPACase Manager/Care Coordinator1285044966
  2. Amy Brickler, LPCCProfessional Counselor1043599533
  3. Sarah Bunch, LPCC-SProfessional Counselor1184199317
  4. Marcie Crain, LCSWClinical Social Worker1164890877
  5. Melonee DicksonMental Health Counselor1962151076
  6. Michele Durkalski, LPCCMental Health Counselor1710954425

Verify Derrick Wagoner in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Kentucky board licenses this profession
    Search for license 172294    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Kentucky license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. KW Consulting LLCBowling Green, KY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Derrick Wagoner among 3,794 mental health counselor records in Kentucky

Derrick Wagoner, LPCC is one of 3,794 mental health counselor records with a practice address in Kentucky. 5% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2014, is newer than 29% of them.

  • NPI issued2014 · 29% of these records are older, 67% newer
  • In a Medicare fileYes · 5% of these records are
  • In the CMS Doctors and Clinicians fileYes · 8% of these records are
  • Graduated2013 · median 2016 among the 287 with a school on file
  • Record last updated2021 · 55% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

27 mental health counselor records list a practice address in Glasgow

They are 27 of the 599 NPPES records with a practice address in Glasgow, and 3,794 mental health counselor records in Kentucky.

All 3,794 in Kentucky → Every provider in Glasgow → Mental Health Counselor nationwide →

The 8 mental health counselor records with the nearest ZIP codes

  1. Monica Bledsoe, LPCCGlasgow, KY 421411851541833
  2. Amanda Burd, LPCCGlasgow, KY 421411558965285
  3. Jodi Crane, LPCCGlasgow, KY 421411609299569
  4. Michele Durkalski, LPCCGlasgow, KY 421411710954425
  5. Leah HammerGlasgow, KY 421411366097875
  6. Kara Harris, LCCPGlasgow, KY 421411285263343
  7. Pamela Hunter, LPCAGlasgow, KY 421411144641960
  8. Cindy Meadows, LPCCGlasgow, KY 421411245661479

Common questions

What is Derrick Wagoner, LPCC's NPI number?

Derrick Wagoner, LPCC's National Provider Identifier (NPI) is 1033529813, issued on May 2, 2014. An NPI identifies a provider in billing; it is not a license.

Where is Derrick Wagoner, LPCC located?

The NPPES record lists a practice address at 104 Reynolds RD, Glasgow, KY, 42141. Phone: (270) 678-4801. Providers update this record themselves, so call before visiting.

How can I verify Derrick Wagoner, LPCC's license?

NPPES lists Kentucky license number 172294, as entered by the provider. Search the Kentucky board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.