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MR. BENJAMIN WAGNER M.A.
NPI 1417069832
Counselor - Professional in Annandale, VA

Active since August 31, 2006
3340 WOODBURN RD, ANNANDALE, VA 22003(703) 207-7826(703) 280-9518 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Benjamin Wagner M.a. NPPES

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

MR. BENJAMIN WAGNER M.A. (NPI 1417069832) is an individual professional provider in Annandale, Virginia, licensed in Virginia (0701004002) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1417069832
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. BENJAMIN WAGNERCredential: M.A.
Location Address3340 WOODBURN RDAnnandale, VA 22003-1202
Mailing Address3340 Woodburn RdAnnandale, VA 22003-1202 · (703) 207-7826 · Fax (703) 280-9518
Phone(703) 207-7826
Fax(703) 280-9518
Sole ProprietorYes
Enumeration DateAugust 31, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1417069832 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 VA · 0701004002
3340 WOODBURN RD, Annandale, VA 22003
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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.

GUSTAVO JESUS PASCALE
Licensed Practical Nurse
3340 WOODBURN RD
ANNANDALE, VA 22003
Fairfax County (703) 207-7714
PATRICIA BEATTY M.A., LPC
Counselor (Professional)
3340 WOODBURN RD
ANNANDALE, VA 22003
Fairfax County (703) 573-5679
MS. SUSAN DIANE CAMPBELL APRN,BS
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
3340 WOODBURN RD
ANNANDALE, VA 22003
Fairfax County (703) 289-2781
MR. ROBERT ADAM MACMURDO LCSW
Social Worker (Clinical)
3340 WOODBURN RD
ANNANDALE, VA 22003
Fairfax County (703) 207-7705
DR. SARAH ANNE BIRMINGHAM M.D.
Psychiatry & Neurology (Psychiatry)
3340 WOODBURN RD
ANNANDALE, VA 22003
Fairfax County (703) 573-0523
MEGGHAN K THOMPSON LPC, NCC
Counselor (Professional)
3340 WOODBURN RD
ANNANDALE, VA 22003
Fairfax County (703) 207-7830
PROF. LARRY HOWARD PASTOR MD
Psychiatry & Neurology (Forensic Psychiatry)
3340 WOODBURN RD
ANNANDALE, VA 22003
Fairfax County (703) 573-5679
MAI-CHI TRAN HA MD
Psychiatry & Neurology (Psychiatry)
3340 WOODBURN RD
ANNANDALE, VA 22003
Fairfax County (703) 573-5679

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 Benjamin Wagner's NPI number?

The NPI number for Benjamin Wagner is 1417069832. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Benjamin Wagner located?

Benjamin Wagner practices at 3340 Woodburn Rd, Annandale, VA 22003. The listed phone number is (703) 207-7826.

What is Benjamin 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 Benjamin Wagner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.