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WAGNER BEHAVIORAL HEALTH SERVICES, LLC
NPI 1548567175
Community/Behavioral Health in Erie, PA

Active since February 17, 2011
1001 STATE ST STE 102, ERIE, PA 16501(814) 580-1743(814) 240-6347 Get Directions Write a Review

NPPES record last updated: July 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2019, Oct 1, 2018 (2 updates tracked since 2018).

About Wagner Behavioral Health Services, Llc NPPES

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

WAGNER BEHAVIORAL HEALTH SERVICES, LLC (NPI 1548567175) is a healthcare organization registered as a community/behavioral health in Erie, Pennsylvania and active in the NPI registry since February 2011. The organization lists Paul Kearney, Medical Billing Specialist, as its authorized official.

NPPES Registry Identity

NPI1548567175
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameWAGNER BEHAVIORAL HEALTH SERVICES, LLC
Location Address1001 STATE ST STE 102Erie, PA 16501-1835
Mailing Address1001 State St Ste 102Erie, PA 16501-1835 · (814) 580-1743 · Fax (814) 240-6347
Phone(814) 580-1743
Fax(814) 240-6347
Organization SubpartNo
Authorized OfficialPaul KearneyMedical Billing Specialist · (814) 580-1743
Enumeration DateFebruary 17, 2011
Last NPPES UpdateJuly 26, 20192 updates tracked since enumeration
✔ NPI 1548567175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in PA · CW015648
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1001 STATE ST STE 102, Erie, PA 16501
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Other Identifiers 1

Medicaid102243824PA

Other Providers at the Same Location NPPES 2

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

MS. MOLLY MARIE WAGNER LCSW
Social Worker (Clinical)
1001 STATE ST STE 102
ERIE, PA 16501
Erie County (814) 580-1743
JEFFERY D. BOYLES MSW, LSW
Social Worker
1001 STATE ST STE 102
ERIE, PA 16501
Erie County (814) 580-1743

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 Wagner Behavioral Health Services, LLC's NPI number?

The NPI number for Wagner Behavioral Health Services, LLC is 1548567175. It was assigned to this organization in the NPPES registry on February 17, 2011.

Where is Wagner Behavioral Health Services, LLC located?

Wagner Behavioral Health Services, LLC is located at 1001 State St Ste 102, Erie, PA 16501. The listed phone number is (814) 580-1743.

What is Wagner Behavioral Health Services, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Wagner Behavioral Health Services, LLC was last updated on July 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.