Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Wagner Counseling PLLC Samantha Wagner Sole Mbr

Organization Mental Health Counselor · NPI 1407655509

Wagner Counseling PLLC Samantha Wagner Sole Mbr provides Mental Health Counselor services in Rockford, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

112 N 2nd St
Rockford, IL 61107-4051
Phone: (608) 313-4655
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1407655509
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patty Nunez — Credentialing Specialist · (312) 439-2321
NPI enumeratedMarch 11, 2025
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address112 N 2nd St, Rockford, IL 61107-4051

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