KEITH HAROLD WAGONER COUNSELOR
NPI 1114268588
Case Manager/Care Coordinator in Sacramento, CA

Q: What is Keith Wagoner's NPI number?

The NPI number for Keith Wagoner is 1114268588. It was assigned to this individual provider in the NPPES registry on March 11, 2013. The provider is also known as Keith Harold Thigpen Counselor.

Q: What is Keith Wagoner's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Keith Wagoner was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since March 11, 2013

2150 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 875-1000 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Keith Harold Wagoner Counselor NPPES

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

KEITH HAROLD WAGONER COUNSELOR (NPI 1114268588) is an individual case manager/care coordinator provider in Sacramento, California and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1114268588

Entity TypeIndividualMale

Primary Taxonomy171M00000X

Provider Legal NameKEITH HAROLD WAGONERCredential: COUNSELOR

Location Address2150 STOCKTON BLVDSacramento, CA 95817-1337

Mailing Address2150 Stockton BlvdSacramento, CA 95817-1337 · (916) 875-1000

Phone(916) 875-1000

Sole ProprietorNo

Enumeration DateMarch 11, 2013

Last NPPES UpdateAugust 27, 2024

NPPES CertifiedAugust 27, 2024

✔ NPI 1114268588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedCounselorTaxonomy 101Y00000X · License A022760416 (CA)

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

2150 STOCKTON BLVD, Sacramento, CA 95817

Open in Google Maps ↗

Other Names 1

Former Name (1)Keith Harold Thigpen Counselor

Other Identifiers 1

Medicaid101Y00000XCA

Other Providers at the Same Location NPPES 20

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

TONYA THOMPSON L.P.T.

Licensed Psychiatric Technician