THOMAS MICHAEL WAGNER LMHCA
NPI 1043904386
Counselor in Spokane, WA

Active since June 08, 2023
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208(509) 559-3100 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 8, 2024, Jun 22, 2023, Jun 8, 2023 (3 updates tracked since 2023).

  • Individual
  • Male
  • Counselor

About THOMAS WAGNER

This page provides the complete NPI Profile along with additional information for Thomas Wagner, a provider established in Spokane, Washington with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1043904386 assigned on June 2023. The practitioner's primary taxonomy code is 101Y00000X with license number MC61540091 (WA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1043904386 Verify this NPI
Provider Name
THOMAS MICHAEL WAGNER LMHCA
Gender
Male
Entity Type
Individual
Location Address
3754 W INDIAN TRAIL RD SPOKANE, WA 99208
Location Phone
(509) 559-3100
Mailing Address
3754 W INDIAN TRAIL RD SPOKANE, WA 99208
Mailing Phone
(509) 559-3100
Is Sole Proprietor?
No
Enumeration Date
06-08-2023
Last Update Date
07-08-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor

Taxonomy Code
101Y00000X
Type
Behavioral Health & Social Service Providers
License No.
MC61540091
License State
WA
Taxonomy Description
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101Y00000XBehavioral Health & Social Service Providers

Counselor

 
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Mental Health)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Social Worker (Clinical)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Mental Health)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Mental Health)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Mental Health)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Social Worker (Clinical)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Social Worker (Clinical)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Nurse's Aide
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Nurse's Aide
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Addiction (Substance Use Disorder))
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208
Counselor (Mental Health)
3754 W INDIAN TRAIL RD
SPOKANE, WA 99208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1043904386, enumerated as an "individual" on June 08, 2023.

The provider is located at 3754 W INDIAN TRAIL RD SPOKANE, WA 99208 and the phone number is (509) 559-3100.

Counselor with taxonomy code 101Y00000X.