SUSAN D. WAGNER MFT
NPI 1629220801
Marriage & Family Therapist in Santa Rosa, CA

Q: What is Susan Wagner's NPI number?

The NPI number for Susan Wagner is 1629220801. It was assigned to this individual provider in the NPPES registry on October 19, 2008.

Q: What is Susan Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Susan Wagner was last updated on October 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since October 19, 2008

1549 PACIFIC AVE, SANTA ROSA, CA 95404(707) 545-7706(707) 887-2035 Get Directions Write a Review

NPPES record last updated: October 19, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Susan D. Wagner Mft NPPES

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

SUSAN D. WAGNER MFT (NPI 1629220801) is an individual marriage & family therapist in Santa Rosa, California, licensed in California (MFC33511) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1629220801

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameSUSAN D. WAGNERCredential: MFT

Location Address1549 PACIFIC AVESanta Rosa, CA 95404-3507

Mailing Address1549 Pacific AveSanta Rosa, CA 95404-3507 · (707) 545-7706 · Fax (707) 887-2035

Phone(707) 545-7706

Fax(707) 887-2035

Sole ProprietorYes

Enumeration DateOctober 19, 2008

✔ NPI 1629220801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · MFC33511

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.

1549 PACIFIC AVE, Santa Rosa, CA 95404

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Other Providers at the Same Location NPPES

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

MARK ALLEN FLOWER L.AC.

Acupuncturist

1549 PACIFIC AVE
SANTA ROSA, CA 95404

Sonoma County (707) 546-8880

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 Susan Wagner's NPI number?

The NPI number for Susan Wagner is 1629220801. It was assigned to this individual provider in the NPPES registry on October 19, 2008.

Where is Susan Wagner located?

Susan Wagner practices at 1549 Pacific Ave, Santa Rosa, CA 95404. The listed phone number is (707) 545-7706.

What is Susan Wagner's specialty?

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

When was this NPI record last updated?

The NPPES record for Susan Wagner was last updated on October 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.