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LISA FAE WAGNER
NPI 1659963502
Counselor - Mental Health in Agoura Hills, CA

Active since February 10, 2021
29532 BERTRAND DR, AGOURA HILLS, CA 91301(310) 480-1719 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Fae Wagner NPPES

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

LISA FAE WAGNER (NPI 1659963502) is an individual mental health provider in Agoura Hills, California, licensed in California (40867) and active in the NPI registry since February 2021.

NPPES Registry Identity

NPI1659963502
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA FAE WAGNER
Location Address29532 BERTRAND DRAgoura Hills, CA 91301-4100
Mailing Address29532 Bertrand DrAgoura Hills, CA 91301-4100 · (310) 480-1719
Phone(310) 480-1719
Sole ProprietorYes
Enumeration DateFebruary 10, 2021
NPPES CertifiedFebruary 10, 2021
✔ NPI 1659963502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 40867
29532 BERTRAND DR, Agoura Hills, CA 91301
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lisa Wagner's NPI number?

The NPI number for Lisa Wagner is 1659963502. It was assigned to this individual provider in the NPPES registry on February 10, 2021.

Where is Lisa Wagner located?

Lisa Wagner practices at 29532 Bertrand Dr, Agoura Hills, CA 91301. The listed phone number is (310) 480-1719.

What is Lisa Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Lisa Wagner was last updated on February 10, 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.