DEBBRA ANNE TESSMER-WAGNER M.A., L.M.F.T.
NPI 1073761599
Counselor - Mental Health in San Diego, CA

Active since September 09, 2008Opted out of Medicare · through Jan 4, 2028
3633 CAMINO DEL RIO S, SUITE 102, SAN DIEGO, CA 92108(619) 507-2936 Get Directions Write a Review

NPPES record last updated: November 1, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Debbra Anne Tessmer-wagner M.a., L.m.f.t. NPPES

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

DEBBRA ANNE TESSMER-WAGNER M.A., L.M.F.T. (NPI 1073761599) is an individual mental health provider in San Diego, California and active in the NPI registry since September 2008. She has opted out of Medicare through January 4, 2028.

NPPES Registry Identity

NPI1073761599
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameDEBBRA ANNE TESSMER-WAGNERCredential: M.A., L.M.F.T.
Location Address3633 CAMINO DEL RIO S, SUITE 102San Diego, CA 92108-4011
Mailing Address3633 Camino Del Rio S, Suite 102San Diego, CA 92108-4011 · (619) 507-2936
Sole ProprietorYes
Enumeration DateSeptember 9, 2008
Last NPPES UpdateNovember 1, 2013
NPI 1073761599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3633 CAMINO DEL RIO S, San Diego, CA 92108

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Debbra Anne Tessmer-wagner M.a., L.m.f.t. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 4, 2024 through January 4, 2028.

Opt-Out Effective DateJanuary 4, 2024
Opt-Out In Effect ThroughJanuary 4, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Rheumatology)
3633 CAMINO DEL RIO S, SUITE 300
SAN DIEGO, CA 92108
Internal Medicine (Rheumatology)
3633 CAMINO DEL RIO S
SAN DIEGO, CA 92108
Psychologist (Clinical)
3633 CAMINO DEL RIO S, SUITE 204
SAN DIEGO, CA 92108
Naturopath
3633 CAMINO DEL RIO S, SUITE 103
SAN DIEGO, CA 92108
Social Worker (Clinical)
3633 CAMINO DEL RIO S, SUITE 204
SAN DIEGO, CA 92108
Marriage & Family Therapist
3633 CAMINO DEL RIO S, SUITE 102
SAN DIEGO, CA 92108
Psychologist (Clinical)
3633 CAMINO DEL RIO S, STE 200
SAN DIEGO, CA 92108
Chiropractor
3633 CAMINO DEL RIO S, #102
SAN DIEGO, CA 92108

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 Debbra Tessmer-wagner's NPI number?

The NPI number for Debbra Tessmer-wagner is 1073761599. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Debbra Tessmer-wagner located?

Debbra Tessmer-wagner practices at 3633 Camino Del Rio S Suite 102, San Diego, CA 92108. The listed phone number is (619) 507-2936.

What is Debbra Tessmer-wagner's specialty?

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

Is Debbra Tessmer-wagner enrolled in Medicare?

No. Debbra Tessmer-wagner has opted out of Medicare through January 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Debbra Tessmer-wagner was last updated on November 1, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.