1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Counselor
  6. NPI Profile

NICOLE WAGNER
NPI 1013668839
Counselor - Mental Health in Mesa, AZ

Active since January 13, 2022
3707 E SOUTHERN AVE STE 2055, MESA, AZ 85206(605) 641-2972 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE WAGNER (NPI 1013668839) is an individual mental health provider in Mesa, Arizona, licensed in Arizona (LAC-19462) and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1013668839
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE WAGNER
Location Address3707 E SOUTHERN AVE STE 2055Mesa, AZ 85206-6217
Mailing Address3707 E Southern Ave Ste 2055Mesa, AZ 85206-6217 · (605) 641-2972
Phone(605) 641-2972
Sole ProprietorNo
Enumeration DateJanuary 13, 2022
NPPES CertifiedJanuary 10, 2022
✔ NPI 1013668839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-19462
3707 E SOUTHERN AVE STE 2055, Mesa, AZ 85206
Open in Google Maps ↗

Other Identifiers 1

OtherLAC-19462AZ · Arizona Counselor License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HEIDI JONES
Counselor (Mental Health)
3707 E SOUTHERN AVE STE 2055
MESA, AZ 85206
Maricopa County (480) 232-2572

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Wagner's NPI number?

The NPI number for Nicole Wagner is 1013668839. It was assigned to this individual provider in the NPPES registry on January 13, 2022.

Where is Nicole Wagner located?

Nicole Wagner practices at 3707 E Southern Ave Ste 2055, Mesa, AZ 85206. The listed phone number is (605) 641-2972.

What is Nicole Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Nicole Wagner accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Nicole Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Wagner was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.