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KATHERINE WAGNER LAC, LSW
NPI 1508668823
Counselor - Addiction (Substance Use Disorder) in Durango, CO

Active since March 26, 2025PECOS Enrolled
150 MERCURY VILLAGE DR, DURANGO, CO 81301(970) 335-2342(970) 335-2438 Get Directions Write a Review

NPPES record last updated: February 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2026, Mar 26, 2025 (2 updates tracked since 2025).

About Katherine Wagner Lac, Lsw NPPES

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

KATHERINE WAGNER LAC, LSW (NPI 1508668823) is an individual addiction (substance use disorder) provider in Durango, Colorado, licensed in Colorado (ACD.0002699) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1508668823
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKATHERINE WAGNERCredential: LAC, LSW
Location Address150 MERCURY VILLAGE DRDurango, CO 81301-8955
Mailing AddressPo Box 1328Durango, CO 81302-1328 · (970) 335-2342 · Fax (970) 335-2438
Phone(970) 335-2342
Fax(970) 335-2438
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 26, 2025
Last NPPES UpdateFebruary 12, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2026
✔ NPI 1508668823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CO · ACD.0002699
150 MERCURY VILLAGE DR, Durango, CO 81301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Wagner Lac, Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234633561
PECOS Enrollment IDI20250918003108
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.

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.

EVE NICOLE WILLIAMS LCSW, LAC
Social Worker (Clinical)
150 MERCURY VILLAGE DR
DURANGO, CO 81301
La Plata County (970) 335-2342
RACHEL WENTLING-WILLIAMS
Registered Nurse
150 MERCURY VILLAGE DR
DURANGO, CO 81301
La Plata County (970) 335-2422
LAURA NELSON LPC
Counselor (Professional)
150 MERCURY VILLAGE DR
DURANGO, CO 81301
La Plata County (970) 335-2342
MARIA SANTIAGO LPCC
Counselor (Professional)
150 MERCURY VILLAGE DR
DURANGO, CO 81301
La Plata County (970) 252-3200
KAYLA CHEATHAM LSW
Social Worker (Clinical)
150 MERCURY VILLAGE DR
DURANGO, CO 81301
La Plata County (970) 335-2422
ELIZABETH MARINO LPC
Counselor (Professional)
150 MERCURY VILLAGE DR
DURANGO, CO 81301
La Plata County (970) 335-2342
VANESSA SYBERT
Counselor (Professional)
150 MERCURY VILLAGE DR
DURANGO, CO 81301
La Plata County (970) 335-2342
RITA ROBINSON CAS
Counselor (Addiction (Substance Use Disorder))
150 MERCURY VILLAGE DR
DURANGO, CO 81301
La Plata County (970) 252-3200

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 Katherine Wagner's NPI number?

The NPI number for Katherine Wagner is 1508668823. It was assigned to this individual provider in the NPPES registry on March 26, 2025.

Where is Katherine Wagner located?

Katherine Wagner practices at 150 Mercury Village Dr, Durango, CO 81301. The listed phone number is (970) 335-2342.

What is Katherine Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Katherine Wagner enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Katherine Wagner was last updated on February 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.