JONATHAN ERIC WAGNER LPCC
NPI 1063006724
Counselor - Professional in Saint Paul, MN

Active since February 23, 2021PECOS EnrolledAccepts Medicare Assignment
2270 FORD PKWY STE 106, SAINT PAUL, MN 55116(612) 915-0049 Get Directions Write a Review

NPPES record last updated: May 1, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jonathan Eric Wagner Lpcc NPPES

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

JONATHAN ERIC WAGNER LPCC (NPI 1063006724) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (4525) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in West St Paul, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1063006724
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameJONATHAN ERIC WAGNERCredential: LPCC
Location Address2270 FORD PKWY STE 106Saint Paul, MN 55116-3412
Mailing Address2270 Ford Pkwy Ste 106Saint Paul, MN 55116-3412 · (612) 915-0049
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 23, 2021
Last NPPES UpdateMay 1, 2025
NPPES CertifiedMay 1, 2025
NPI 1063006724 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 4525
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 02291 (MN)
2270 FORD PKWY STE 106, Saint Paul, MN 55116

Secondary Practice Location 1

Location 1320 Annapolis St EWest St Paul, MN 55118-1604 · Phone (651) 210-9549

Other Identifiers 1

Other02291MN · State Of Minnesota

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jonathan Eric Wagner Lpcc 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 ID2769909605
PECOS Enrollment IDI20250505002583
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.

Other Providers at the Same Location NPPES 8

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

Counselor (Professional)
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116
Nurse Practitioner (Psychiatric/Mental Health)
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116
Counselor (Mental Health)
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116
Nurse Practitioner (Psychiatric/Mental Health)
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116
Social Worker (Clinical)
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116
Marriage & Family Therapist
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116
Counselor (Mental Health)
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116
Social Worker
2270 FORD PKWY STE 106
SAINT PAUL, MN 55116

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 Jonathan Wagner's NPI number?

The NPI number for Jonathan Wagner is 1063006724. It was assigned to this individual provider in the NPPES registry on February 23, 2021.

Where is Jonathan Wagner located?

Jonathan Wagner practices at 2270 Ford Pkwy Ste 106, Saint Paul, MN 55116. The listed phone number is (612) 915-0049.

What is Jonathan Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Jonathan Wagner enrolled in Medicare?

Yes. Jonathan 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.

What insurance does Jonathan Wagner accept?

Health plans from HealthPartners list Jonathan 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 Jonathan Wagner was last updated on May 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.