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JASON ROBERT WAGNER CMHC
NPI 1053700765
Counselor - Mental Health in Sandy, UT

Active since January 19, 2015PECOS EnrolledAccepts Medicare Assignment
9844 S 1300 E STE 250, SANDY, UT 84094(801) 243-2928(801) 609-3649 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jason Robert Wagner Cmhc NPPES

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

JASON ROBERT WAGNER CMHC (NPI 1053700765) is an individual mental health provider in Sandy, Utah, licensed in Utah (7717626-6009) and active in the NPI registry since January 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1053700765
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJASON ROBERT WAGNERCredential: CMHC
Location Address9844 S 1300 E STE 250Sandy, UT 84094-4691
Mailing Address9844 S 1300 E Ste 250Sandy, UT 84094-4691 · (801) 243-2928
Phone(801) 243-2928
Fax(801) 609-3649
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJanuary 19, 2015
Last NPPES UpdateJuly 24, 2024
NPPES CertifiedJuly 24, 2024
✔ NPI 1053700765 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 UT · 7717626-6009
9844 S 1300 E STE 250, Sandy, UT 84094
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Utah, University of Utah Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Robert Wagner Cmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870030018
PECOS Enrollment IDI20241029003155
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jason Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Moving Forward Counseling
Same address
Adult Mental Health
9844 S 1300 E STE 250
Sandy, UT 84094
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
NPI 1811526122 (801) 810-5037

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

MOVING FORWARD TREATMENT
Clinic/Center (Adult Mental Health)
9844 S 1300 E STE 250
SANDY, UT 84094
Salt Lake County (801) 810-5037
ALESHIA C JEX CSW
Social Worker
9844 S 1300 E STE 250
SANDY, UT 84094
Salt Lake County (801) 810-5037
JOSHUA HENRICKSEN
Social Worker (Clinical)
9844 S 1300 E STE 250
SANDY, UT 84094
Salt Lake County (801) 810-5037
MICHAELANN LANAE ACORD
Counselor (Mental Health)
9844 S 1300 E STE 250
SANDY, UT 84094
Salt Lake County (801) 810-5037
RUSSELL L. SORENSEN LLC
Specialist
9844 S 1300 E STE 250
SANDY, UT 84094
Salt Lake County (801) 571-1552
AMANDA SHEPARD
Counselor (Mental Health)
9844 S 1300 E STE 250
SANDY, UT 84094
Salt Lake County (801) 810-5037
MOLLY HOOVER ACMHC
Counselor (Mental Health)
9844 S 1300 E STE 250
SANDY, UT 84094
Salt Lake County (801) 810-5037
KIRSTI BAILEY BAGLEY
Counselor (Mental Health)
9844 S 1300 E STE 250
SANDY, UT 84094
Salt Lake County (801) 810-5037

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 Jason Wagner's NPI number?

The NPI number for Jason Wagner is 1053700765. It was assigned to this individual provider in the NPPES registry on January 19, 2015.

Where is Jason Wagner located?

Jason Wagner practices at 9844 S 1300 E Ste 250, Sandy, UT 84094. The listed phone number is (801) 243-2928.

What is Jason Wagner's specialty?

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

Is Jason Wagner enrolled in Medicare?

Yes. Jason Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jason Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Wagner reassigns Medicare benefits to Moving Forward Counseling (Sandy, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jason Wagner accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Jason 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 Jason Wagner was last updated on July 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.