Jerry Waggoner Lpc L.L.C.
NPI 1548546583 · Community/Behavioral Health Agency · Lake Saint Louis, MO
Jerry Waggoner Lpc L.L.C. is a Community/Behavioral Health Agency organization in Lake Saint Louis, MO (NPI 1548546583).
Provider details
- NPI number
- 1548546583
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Jerry Waggoner, Sole Member(636) 633-1980
- License
- 001573 (MO)
Specialties & taxonomies
Agencies
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2011-10-21
- Last updated
- 2011-10-21
Frequently asked questions
- What is Jerry Waggoner Lpc L.L.C.'s NPI number?
- Jerry Waggoner Lpc L.L.C.'s National Provider Identifier (NPI) is 1548546583, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jerry Waggoner Lpc L.L.C.?
- Jerry Waggoner Lpc L.L.C. is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Jerry Waggoner Lpc L.L.C. located?
- Jerry Waggoner Lpc L.L.C.'s practice location on file with NPPES is 1000 Lake Saint Louis Blvd Ste 260, Lake Saint Louis, MO 63367-2924.
- What is Jerry Waggoner Lpc L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Jerry Waggoner Lpc L.L.C. is (314) 994-9344.
- Who is the authorized official for Jerry Waggoner Lpc L.L.C.?
- The authorized official listed on Jerry Waggoner Lpc L.L.C.'s NPPES record is Jerry Waggoner, Sole Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jerry Waggoner Lpc L.L.C.'s NPI active?
- Yes — Jerry Waggoner Lpc L.L.C.'s NPI (1548546583) is active in the NPPES registry as of the last update on 2011-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.