DERRICK WAGONER (LPCC) – Mental Health Counselor, NPI 1033529813
Mental Health Counselor
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
862 MENTAL HEALTH COUNSELOR in KY
Provider Addresses for DERRICK WAGONER (LPCC)
1048 ASHLEY ST STE 201
BOWLING GREEN, KY 421032449
Phone: (270) 904-6567
Fax: (270) 904-6570
Type: Location
1048 Ashley St Ste 201
Bowling Green, KY 421032449
Phone: (270) 904-6567
Fax: (270) 904-6570
Type: Location
1600 Scottsville Rd Ste 101
Bowling Green, KY 421043217
Phone: (270) 904-6567
Type: Location
1910 Lyda Ave
Bowling Green, KY 421043326
Phone: (270) 904-6567
Type: Location
104 REYNOLDS RD
GLASGOW, KY 421411177
Phone: (270) 678-4801
Fax: (270) 678-3866
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240913000574 | I | Mental Health Counselor | KY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 42103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Mental Health Counselor | KY | |
| Nurse Practitioner | KY | |
| Mental Health Counselor | KY | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | KY | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KY | |
| Clinical Social Worker | KY | |
| Mental Health Counselor | KY |
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