Derrick Wagoner, LPCC
NPI 1033529813 · Mental Health Counselor · Glasgow, KY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Derrick Wagoner, LPCC is a Mental Health Counselor provider in Glasgow, KY (NPI 1033529813).
Provider details
- NPI number
- 1033529813
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- No
- License
- 1839 (KY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (3)
- 1048 Ashley St Ste 201Bowling Green, KY 42103-2449Phone: (270) 904-6567Fax: (270) 904-6570
- 1600 Scottsville Rd Ste 101Bowling Green, KY 42104-3217Phone: (270) 904-6567
- 1910 Lyda AveBowling Green, KY 42104-3326Phone: (270) 904-6567
Registry dates
- Enumerated
- 2014-05-02
- Last updated
- 2021-05-12
- Certified
- 2021-05-12
Frequently asked questions
- What is Derrick Wagoner's NPI number?
- Derrick Wagoner's National Provider Identifier (NPI) is 1033529813, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Derrick Wagoner's specialty?
- Derrick Wagoner is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Derrick Wagoner located?
- Derrick Wagoner's practice location on file with NPPES is 104 Reynolds Rd, Glasgow, KY 42141-1177.
- What is Derrick Wagoner's phone number?
- The practice phone number listed in the NPPES registry for Derrick Wagoner is (270) 678-4801.
- Does Derrick Wagoner accept Medicare?
- Derrick Wagoner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Derrick Wagoner's NPI active?
- Yes — Derrick Wagoner's NPI (1033529813) is active in the NPPES registry as of the last update on 2021-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.