1. Home
  2. Directory
  3. Arizona
  4. Florence
  5. Counselor
  6. NPI Profile

NATASHA MARIE WAGNER LPC
NPI 1336713080
Counselor - Professional in Florence, AZ

Active since May 18, 2021
5909 W AUTUMN VISTA WAY, FLORENCE, AZ 85132(480) 540-1099 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Natasha Marie Wagner Lpc NPPES

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

NATASHA MARIE WAGNER LPC (NPI 1336713080) is an individual professional provider in Florence, Arizona, licensed in Michigan (6401008764) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1336713080
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNATASHA MARIE WAGNERCredential: LPC
Location Address5909 W AUTUMN VISTA WAYFlorence, AZ 85132-1294
Mailing Address5909 W Autumn Vista WayFlorence, AZ 85132-1294 · (480) 540-1099
Phone(480) 540-1099
Sole ProprietorYes
Enumeration DateMay 18, 2021
NPPES CertifiedMay 18, 2021
✔ NPI 1336713080 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 MI · 6401008764
5909 W AUTUMN VISTA WAY, Florence, AZ 85132
Open in Google Maps ↗

Other Names 1

Former Name (1)Natasha Marie Johnson Lpc

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 Natasha Wagner's NPI number?

The NPI number for Natasha Wagner is 1336713080. It was assigned to this individual provider in the NPPES registry on May 18, 2021. The provider is also known as Natasha Marie Johnson Lpc.

Where is Natasha Wagner located?

Natasha Wagner practices at 5909 W Autumn Vista Way, Florence, AZ 85132. The listed phone number is (480) 540-1099.

What is Natasha Wagner'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 Natasha Wagner was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.