DR. KATJE WAGNER PHD, LPC
NPI 1114196680
Counselor in Portland, OR

Active since February 28, 2008
1942 NW KEARNEY ST STE 23, PORTLAND, OR 97209(503) 313-5733 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Jun 22, 2016 (2 updates tracked since 2016).

About Dr. Katje Wagner Phd, Lpc NPPES

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

DR. KATJE WAGNER PHD, LPC (NPI 1114196680) is an individual counselor in Portland, Oregon and active in the NPI registry since February 2008. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1114196680
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameDR. KATJE WAGNERCredential: PHD, LPC
Location Address1942 NW KEARNEY ST STE 23Portland, OR 97209-1465
Mailing Address1942 Nw Kearney St Ste 23Portland, OR 97209-1465 · (503) 313-5733
Sole ProprietorYes
Enumeration DateFebruary 28, 2008
Last NPPES UpdateApril 3, 20242 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1114196680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
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.
Also ListedPsychologistTaxonomy 103T00000X
1942 NW KEARNEY ST STE 23, Portland, OR 97209

Secondary Practice Location 1

Location 14735 NE 75th AvePortland, OR 97218-3829 · Phone (503) 313-5733

Accepted Insurance

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 Katje Wagner's NPI number?

The NPI number for Katje Wagner is 1114196680. It was assigned to this individual provider in the NPPES registry on February 28, 2008.

Where is Katje Wagner located?

Katje Wagner practices at 1942 NW Kearney St Ste 23, Portland, OR 97209. The listed phone number is (503) 313-5733.

What is Katje Wagner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Katje Wagner accept?

Health plans from PacificSource Health Plans list Katje 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 Katje Wagner was last updated on April 3, 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.