MR. TIMOTHY JON WRAGG LPC, NCC
NPI 1093309304
Counselor - Professional in Philadelphia, PA

Active since February 26, 2021
123 S BROAD ST, PHILADELPHIA, PA 19109(267) 457-4782 Get Directions Write a Review

NPPES record last updated: February 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Timothy Jon Wragg Lpc, Ncc NPPES

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

MR. TIMOTHY JON WRAGG LPC, NCC (NPI 1093309304) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC013032) and active in the NPI registry since February 2021. He maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1093309304
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. TIMOTHY JON WRAGGCredential: LPC, NCC
Location Address123 S BROAD STPhiladelphia, PA 19109-1029
Mailing Address4329 Baltimore AvePhiladelphia, PA 19104-4413 · (215) 450-9124
Sole ProprietorYes
Enumeration DateFebruary 26, 2021
NPPES CertifiedFebruary 26, 2021
NPI 1093309304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in PA · PC013032
123 S BROAD ST, Philadelphia, PA 19109

Secondary Practice Location 1

Location 14329 Baltimore AvePhiladelphia, PA 19104-4413 · Phone (267) 457-4782

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

Psychologist
123 S BROAD ST
PHILADELPHIA, PA 19109
Dietitian, Registered
123 S BROAD ST, SUITE 1641
PHILADELPHIA, PA 19109
Counselor (Professional)
123 S BROAD ST
PHILADELPHIA, PA 19109
Massage Therapist
123 S BROAD ST, SUITE 1833
PHILADELPHIA, PA 19109

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 Timothy Wragg's NPI number?

The NPI number for Timothy Wragg is 1093309304. It was assigned to this individual provider in the NPPES registry on February 26, 2021.

Where is Timothy Wragg located?

Timothy Wragg practices at 123 S Broad St, Philadelphia, PA 19109. The listed phone number is (267) 457-4782.

What is Timothy Wragg's specialty?

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

When was this NPI record last updated?

The NPPES record for Timothy Wragg was last updated on February 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.