MEDICARE: HEATHER J WAGNER LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor
2	101YP2500X	Professional Counselor	PC005931	PA

General Provider Information

NPI Number	:	1770510885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER J WAGNER LPC, NCC

Provider Business Mailing Address
First Line	:	265 POINTER DR
Second Line	:
City	:	JEFFERSON HILLS
State	:	PA
Zip	:	15025-3272
Country	:	US
Telephone Number	:	412-650-9296
Fax Number	:

Provider Business Practice Location Address
First Line	:	6381 GRINDSTONE RD
Second Line	:
City	:	GRINDSTONE
State	:	PA
Zip	:	15442-2801
Country	:	US
Telephone Number	:	724-785-4346
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2006
Last Update Date	:	07/28/2011

Similar Medicare Providers

1235136110 — DR. KEVIN MICHAEL LOTMAN DC
Practice Location Address:

6367 NATIONAL PIKE
GRINDSTONE, PA
15442-1114

Practice Phone: 724-785-2270
Practice Fax: 724-785-2270

1508866658 — LINDA MARIE BURSTYNOWICZ M.D.
Practice Location Address:

111B ROBERTS RD
GRINDSTONE, PA
15442-1105

Practice Phone: 724-785-2286
Practice Fax: 724-785-3187

1346229291 — GEITH H SHAHOUD MD
Practice Location Address:

111 ROBERTS RD STE 150
GRINDSTONE, PA
15442-2104

Practice Phone: 724-785-4346
Practice Fax: 724-364-7117

1427022706 — FAYETTE MEDICAL ASSOCIATES INC
Practice Location Address:

111B ROBERTS RD
GRINDSTONE, PA
15442-1105

Practice Phone: 724-785-2161
Practice Fax: 724-785-3187

1982793642 — RITE AID OF PENNSYLVANIA LLC
Practice Location Address:

6039 NATIONAL PIKE
GRINDSTONE, PA
15442-1107

Practice Phone: 724-785-4522
Practice Fax:

1659575041 — GILBERT B PEREZ M.D.
Practice Location Address:

111B ROBERTS RD
GRINDSTONE, PA
15442-1105

Practice Phone: 724-785-2286
Practice Fax: 724-785-3187

Directions to “ HEATHER J WAGNER LPC, NCC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.