IndividualActive
Shannon Wagner
NPI 1790520302 · Professional Counselor · Roscoe, IL
Shannon Wagner is a Professional Counselor provider in Roscoe, IL (NPI 1790520302).
Provider details
- NPI number
- 1790520302
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 178019380 (IL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
11447 2nd St Ste 9a
Roscoe, IL 61073-9522
Phone: (815) 601-4673
Approximate (ZIP-level) locationGet directions
Mailing address
515 Pin Oak Rd
Rockton, IL 61072-8023
Registry dates
- Enumerated
- 2024-06-26
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Shannon Wagner's NPI number?
- Shannon Wagner's National Provider Identifier (NPI) is 1790520302, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Wagner's specialty?
- Shannon Wagner is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Shannon Wagner located?
- Shannon Wagner's practice location on file with NPPES is 11447 2nd St Ste 9a, Roscoe, IL 61073-9522.
- What is Shannon Wagner's phone number?
- The practice phone number listed in the NPPES registry for Shannon Wagner is (815) 601-4673.
- Is Shannon Wagner's NPI active?
- Yes — Shannon Wagner's NPI (1790520302) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.