MRS. NICOLE L WAGSTROM (PCC) – Professional Counselor, NPI 1790814937

MRS. NICOLE L WAGSTROM (PCC) is a healthcare provider. based in Beavercreek, Ohio. specializing in Professional Counselor. They hold the professional credentials PCC. They hold a License No. 8377 (OH). The NPI Number for MRS. NICOLE L WAGSTROM (PCC) is 1790814937

Main info

Female
Name
MRS. NICOLE L WAGSTROM (PCC)
NPI
1790814937
Phone
(937) 429-8719
Address
2548 HILLSDALE DR
Enumeration Date
5 March 2007
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for MRS. NICOLE L WAGSTROM (PCC)

  • 2548 HILLSDALE DR

    BEAVERCREEK, OH 454315672

    Phone: (937) 429-8719

    Type: Mailing

  • 801 SPACE DRIVE

    BEAVERCREEK, OH 454347162

    Phone: (937) 431-3870

    Type: Location

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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 45431)

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Frequently asked questions

What is the 10-digit NPI for MRS. NICOLE L WAGSTROM (PCC)?
MRS. NICOLE L WAGSTROM (PCC) — NPI 1790814937 — is the standard way to identify this listing.
Can I rely on MRS. NICOLE L WAGSTROM (PCC) being an active provider?
As of the registry snapshot, MRS. NICOLE L WAGSTROM (PCC) is marked active.
What is MRS. NICOLE L WAGSTROM (PCC)'s specialty?
The listing groups MRS. NICOLE L WAGSTROM (PCC) with Professional Counselor. Clinical services aligned with this taxonomy classification.
What area does MRS. NICOLE L WAGSTROM (PCC) serve?
MRS. NICOLE L WAGSTROM (PCC)'s listing highlights Beavercreek, Ohio; more addresses can appear in NPPES.
Why does MRS. NICOLE L WAGSTROM (PCC) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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