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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZABETH WAGNER, LCPC ATR-BC

Active Sole Proprietor

ELIZABETH WAGNER, LCPC ATR-BC is a Counselor healthcare provider located in CHAMPAIGN, Illinois. NPI 1306062922 is currently active in the NPPES registry. Verify at CMS.

Counselor · CHAMPAIGN, IL

Registration Details

NPI Number
1306062922
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2007 (19.280300920711 yrs)
Last Updated
Nov 18, 2025
Licenses
180.003668 (IL)
180.003668 (IL)
Sole Proprietor
Yes

Practice Information

Address
105 N FAIR ST
CHAMPAIGN, IL, 61821
Browse IL providers · Browse ZIP 61821
Phone
2173988090
Primary Specialty
Counselor
101Y00000X
Additional Specialty
Professional Counselor

Other Counselor Providers in CHAMPAIGN, IL

Name Credential NPI
MRS. CHALAINE L DAVIS BS LCWE 1477649473
BETTINA MARIA GARNER EARL 1154470540
MR. TIMOTHY NEAL TAYLOR MS ED., LCPC 1205059532
DEBRA FRYE 1215131552
JANET SCHUMACHER SR. 1881898047
DEETRA MICHELLE MASON 1972798890
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.