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MRS. ABIGAIL RAE WAGNER LPC, LADC
NPI 1033603527
Counselor - Addiction (Substance Use Disorder) in Big Lake, MN

Active since June 18, 2018
207 JEFFERSON BLVD, BIG LAKE, MN 55309(763) 367-6080 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 19, 2024, Jun 18, 2018 (2 updates tracked since 2018).

About Mrs. Abigail Rae Wagner Lpc, Ladc NPPES

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

MRS. ABIGAIL RAE WAGNER LPC, LADC (NPI 1033603527) is an individual addiction (substance use disorder) provider in Big Lake, Minnesota, licensed in Minnesota (305134) and active in the NPI registry since June 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1033603527
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. ABIGAIL RAE WAGNERCredential: LPC, LADC
Location Address207 JEFFERSON BLVDBig Lake, MN 55309-4667
Mailing Address207 Jefferson BlvdBig Lake, MN 55309-4667 · (763) 367-6080
Phone(763) 367-6080
Sole ProprietorNo
Enumeration DateJune 18, 2018
Last NPPES UpdateApril 19, 20242 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1033603527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 305134
207 JEFFERSON BLVD, Big Lake, MN 55309
Open in Google Maps ↗

Other Names 1

Former Name (1)Abigail Rae Charlson Ladc

Secondary Practice Locations 2

Location 11321 13th St NSaint Cloud, MN 56303-2613 · Phone (320) 252-5010
Location 2713 Anderson AveSaint Cloud, MN 56303-2048 · Phone (320) 229-3760 ext. 23969

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Other Providers at the Same Location NPPES 19

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

CHRIS BRENDEMUHL
Counselor (Mental Health)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
DANIEL LLOYD MILLER MA LMFT
Marriage & Family Therapist
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
MRS. EILEEN MARIE PETERSON MA
Marriage & Family Therapist
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
MS. PAIGE MARIE MYHRA MA, LADC
Counselor (Addiction (Substance Use Disorder))
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
THOMAS BRICE RITCHIE BALADC
Counselor (Addiction (Substance Use Disorder))
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
DR. SAARI ANNE MCCORNACK PSYD
Psychologist (Clinical)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 263-7897
JENNICA WANHA MA
Counselor (Mental Health)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080
MRS. STEPHANIE RUTH WARWAS LICSW
Counselor (Mental Health)
207 JEFFERSON BLVD
BIG LAKE, MN 55309
Sherburne County (763) 367-6080

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 Abigail Wagner's NPI number?

The NPI number for Abigail Wagner is 1033603527. It was assigned to this individual provider in the NPPES registry on June 18, 2018. The provider is also known as Abigail Rae Charlson Ladc.

Where is Abigail Wagner located?

Abigail Wagner practices at 207 Jefferson Blvd, Big Lake, MN 55309. The listed phone number is (763) 367-6080.

What is Abigail Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Abigail Wagner accept?

Health plans from HealthPartners list Abigail 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 Abigail Wagner was last updated on April 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.