MARISA WAGNER IMFT
NPI 1336816271
Counselor - Mental Health in Wauseon, OH

Active since August 27, 2021PECOS Enrolled
9104 STATE ROUTE 108, WAUSEON, OH 43567(419) 388-6663 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: May 30, 2025, Nov 4, 2024, Aug 27, 2021 (3 updates tracked since 2021).

About Marisa Wagner Imft NPPES

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

MARISA WAGNER IMFT (NPI 1336816271) is an individual mental health provider in Wauseon, Ohio, licensed in Ohio (F.2400426) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336816271
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISA WAGNERCredential: IMFT
Location Address9104 STATE ROUTE 108Wauseon, OH 43567-9526
Mailing Address9104 State Route 108Wauseon, OH 43567-9526 · (419) 388-6663
Sole ProprietorNo
Enumeration DateAugust 27, 2021
Last NPPES UpdateMay 30, 20253 updates tracked since enumeration
NPPES CertifiedMay 30, 2025
NPI 1336816271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses Licensed in OH · F.2400426 Licensed in OH · M.2100239-TRNE
9104 STATE ROUTE 108, Wauseon, OH 43567

Other Identifiers 1

OtherM.2100239-TRNEOH · Ohio Counselor, Social Worker, And Marriage And Family Therapy Board

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Marisa Wagner Imft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Marisa Wagner's NPI number?

The NPI number for Marisa Wagner is 1336816271. It was assigned to this individual provider in the NPPES registry on August 27, 2021.

Where is Marisa Wagner located?

Marisa Wagner practices at 9104 State Route 108, Wauseon, OH 43567. The listed phone number is (419) 388-6663.

What is Marisa Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marisa Wagner enrolled in Medicare?

Yes. Marisa Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Marisa Wagner accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual list Marisa 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 Marisa Wagner was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.