NATHAN WAGNER LPC, CSAC
NPI 1497100200
Counselor - Professional in Manassas, VA

Active since April 29, 2016
9720 CAPITAL CT, SUITE 303, MANASSAS, VA 20110(571) 921-4812 Get Directions Write a Review

NPPES record last updated: April 29, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nathan Wagner Lpc, Csac NPPES

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

NATHAN WAGNER LPC, CSAC (NPI 1497100200) is an individual professional provider in Manassas, Virginia, licensed in Virginia (0701006557) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1497100200
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNATHAN WAGNERCredential: LPC, CSAC
Location Address9720 CAPITAL CT, SUITE 303Manassas, VA 20110-2044
Mailing Address11835 Hazel Circle DrBristow, VA 20136-2180 · (571) 921-4812
Sole ProprietorNo
Enumeration DateApril 29, 2016
NPI 1497100200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in VA · 0701006557
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 070102980 (VA)
9720 CAPITAL CT, Manassas, VA 20110

Other Providers at the Same Location NPPES 9

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

Behavior Technician
9720 CAPITAL CT
MANASSAS, VA 20110
Counselor (Professional)
9720 CAPITAL CT, 303
MANASSAS, VA 20110
Counselor (Mental Health)
9720 CAPITAL CT, 303
MANASSAS, VA 20110
Behavior Technician
9720 CAPITAL CT
MANASSAS, VA 20110
Behavior Analyst
9720 CAPITAL CT
MANASSAS, VA 20110
Behavior Technician
9720 CAPITAL CT
MANASSAS, VA 20110
Behavior Technician
9720 CAPITAL CT
MANASSAS, VA 20110
Counselor (Professional)
9720 CAPITAL CT
MANASSAS, VA 20110

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 Nathan Wagner's NPI number?

The NPI number for Nathan Wagner is 1497100200. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Where is Nathan Wagner located?

Nathan Wagner practices at 9720 Capital Ct Suite 303, Manassas, VA 20110. The listed phone number is (571) 921-4812.

What is Nathan 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 Nathan Wagner was last updated on April 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.