Nicole Wagstrom, PCC
NPI 1790814937 · Professional Counselor · Beavercreek, OH
Nicole Wagstrom, PCC is a Professional Counselor provider in Beavercreek, OH (NPI 1790814937).
Provider details
- NPI number
- 1790814937
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- PCC
- Sex
- Female
- Sole proprietor
- No
- License
- 8377 (OH)
Specialties & taxonomies
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
19 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
- 2007-03-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Nicole Wagstrom's NPI number?
- Nicole Wagstrom's National Provider Identifier (NPI) is 1790814937, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wagstrom's specialty?
- Nicole Wagstrom is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Wagstrom located?
- Nicole Wagstrom's practice location on file with NPPES is 801 Space Drive, Beavercreek, OH 45434-7162.
- What is Nicole Wagstrom's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wagstrom is (937) 431-3870.
- Is Nicole Wagstrom's NPI active?
- Yes — Nicole Wagstrom's NPI (1790814937) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.