MRS. CORTNEY PAIGE WAGNER M.F.T.
NPI 1245358597
Marriage & Family Therapist in San Luis Obispo, CA

Active since March 26, 2007Opted out of Medicare · through Jan 1, 2028
11555 LOS OSOS VALLEY RD STE 210, SAN LUIS OBISPO, CA 93405(805) 334-0863 Get Directions Write a Review

NPPES record last updated: July 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2021, Feb 16, 2017 (2 updates tracked since 2017).

About Mrs. Cortney Paige Wagner M.f.t. NPPES

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

MRS. CORTNEY PAIGE WAGNER M.F.T. (NPI 1245358597) is an individual marriage & family therapist in San Luis Obispo, California, licensed in California (MFC43797) and active in the NPI registry since March 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1245358597
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMRS. CORTNEY PAIGE WAGNERCredential: M.F.T.
Location Address11555 LOS OSOS VALLEY RD STE 210San Luis Obispo, CA 93405-6417
Mailing Address11555 Los Osos Valley Rd Ste 210San Luis Obispo, CA 93405-6417 · (805) 334-0863
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 14, 20212 updates tracked since enumeration
NPPES CertifiedJuly 14, 2021
NPI 1245358597 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · MFC43797
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
11555 LOS OSOS VALLEY RD STE 210, San Luis Obispo, CA 93405

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Cortney Paige Wagner 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 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 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.

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 Cortney Wagner's NPI number?

The NPI number for Cortney Wagner is 1245358597. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Cortney Wagner located?

Cortney Wagner practices at 11555 Los Osos Valley Rd Ste 210, San Luis Obispo, CA 93405. The listed phone number is (805) 334-0863.

What is Cortney Wagner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Cortney Wagner enrolled in Medicare?

No. Cortney Wagner has opted out of Medicare through January 1, 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 Cortney Wagner was last updated on July 14, 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.