Individual Healthcare Provider
Phyliss Wagner, LPCC
Provider's NPPES record last updated: September 25, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1003325416
- Primary Specialty
- Counselor — Addiction (Substance Use Disorder)
- Practice Location
- Westlake, Ohio
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:17 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Counselor
Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YA0400X Counselor
Professional
Behavioral Health & Social Service Providers
Definition to come...
Taxonomy code 101YP2500X
Provider-Reported License Information
- Counselor (Ohio)
- CDCA.164771
- Counselor (Ohio)
- E.2001993
Practice Locations
Practice Location
842 Corporate Way Ste 850
Westlake, Ohio 44145-1537
Phone: (440) 296-2050
Additional Practice Location
107 Woodstock Dr
Avon Lake, Ohio 44012-1622
Phone: (440) 296-2050
Fax: (440) 246-0189
Additional Practice Location
24500 Center Ridge Rd Ste 110
Westlake, Ohio 44145-5604
Phone: (440) 522-9810
Record Information
- Enumeration Date
- September 28, 2017
- Provider's NPPES Record Last Updated
- September 25, 2024
- Certification Date
- September 25, 2024
- NPISignal NPPES Dataset
- August 2026
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