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WYATT ALAN AGNEW MFT INTERN
NPI 1538751771
Marriage & Family Therapist in Mesa, AZ

Active since February 09, 2021PECOS Enrolled
235 S EL DORADO CIR, MESA, AZ 85202(480) 968-2995 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Wyatt Alan Agnew Mft Intern NPPES

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

WYATT ALAN AGNEW MFT INTERN (NPI 1538751771) is an individual marriage & family therapist in Mesa, Arizona and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1538751771
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameWYATT ALAN AGNEWCredential: MFT INTERN
Location Address235 S EL DORADO CIRMesa, AZ 85202-1044
Mailing Address1800 W Elliot Rd Unit 203Chandler, AZ 85224-8831 · (480) 298-8799
Phone(480) 968-2995
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 9, 2021
NPPES CertifiedFebruary 9, 2021
✔ NPI 1538751771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
235 S EL DORADO CIR, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wyatt Alan Agnew Mft Intern is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID840769311
PECOS Enrollment IDI20260513003589
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.

Medicare Billing Reassignment

Medicare enrollment records show Wyatt Agnew reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Desert Senita Community Health Center
36 mi
Federally Qualified Health Center (FQHC)
1435 N ARIZONA BLVD
Coolidge, AZ 85128
  • Reassigned Medicare billing, Arizona enrollment
  • 20 clinicians in this Medicare group
NPI 1386419927 (520) 387-5651

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

CROZIER RODNEY KIMBALL JR. LPC
Counselor (Professional)
235 S EL DORADO CIR
MESA, AZ 85202
Maricopa County (480) 968-2995
MR. MATTHEW WATSON L.C.S.W.
Social Worker (Clinical)
235 S EL DORADO CIR
MESA, AZ 85202
Maricopa County (480) 968-2995
LARRY DELANO DRAUGHON LCSW
Social Worker (Clinical)
235 S EL DORADO CIR
MESA, AZ 85202
Maricopa County (480) 834-5647
ANITA K MARPLE LAC
Counselor
235 S EL DORADO CIR
MESA, AZ 85202
Maricopa County (480) 968-2995
LDS FAMILY SERVICES
Counselor (Mental Health)
235 S EL DORADO CIR
MESA, AZ 85202
Maricopa County (480) 968-2995
PAMELA FLAKE
Student in an Organized Health Care Education/Training Program
235 S EL DORADO CIR
MESA, AZ 85202
Maricopa County (480) 968-2995
ROXANNE M. REYNOSO LPC
Counselor (Professional)
235 S EL DORADO CIR
MESA, AZ 85202
Maricopa County (480) 968-2995
ANJEANETTE POUT
Marriage & Family Therapist
235 S EL DORADO CIR
MESA, AZ 85202
Maricopa County (480) 968-2995

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 Wyatt Agnew's NPI number?

The NPI number for Wyatt Agnew is 1538751771. It was assigned to this individual provider in the NPPES registry on February 9, 2021.

Where is Wyatt Agnew located?

Wyatt Agnew practices at 235 S El Dorado Cir, Mesa, AZ 85202. The listed phone number is (480) 968-2995.

What is Wyatt Agnew's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Wyatt Agnew enrolled in Medicare?

Yes. Wyatt Agnew is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Wyatt Agnew's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Wyatt Agnew reassigns Medicare benefits to Desert Senita Community Health Center (Coolidge, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Wyatt Agnew's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Wyatt Agnew accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc. list Wyatt Agnew 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 Wyatt Agnew was last updated on February 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.