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JESSE WAGNER
NPI 1669030631
Counselor in Santa Cruz, CA

Active since June 04, 2019
380 ENCINAL ST STE 200, SANTA CRUZ, CA 95060(831) 469-1700(831) 425-1905 Get Directions Write a Review

NPPES record last updated: June 4, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jesse Wagner NPPES

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

JESSE WAGNER (NPI 1669030631) is an individual counselor in Santa Cruz, California and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1669030631
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameJESSE WAGNER
Location Address380 ENCINAL ST STE 200Santa Cruz, CA 95060-2178
Mailing Address380 Encinal St Ste 200Santa Cruz, CA 95060-2178 · (831) 469-1700 · Fax (831) 425-1905
Phone(831) 469-1700
Fax(831) 425-1905
Sole ProprietorNo
Enumeration DateJune 4, 2019
✔ NPI 1669030631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
380 ENCINAL ST STE 200, Santa Cruz, CA 95060
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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.

TERESA MARIA MCINERNEY
Counselor (Mental Health)
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 425-1905
JAMES MICHAEL GARDNER
Adult Companion
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
BRIANNA SMITH
Student in an Organized Health Care Education/Training Program
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
ROSALIE EVANS LCSW
Social Worker (Clinical)
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
ROBYN BROOKS HATCH
Community Health Worker
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
FREDERICK CLOCK
Community Health Worker
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
SHELBY FAZZOLARE
Community Health Worker
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700
HAYLEY MARIE STRAND
Counselor (Addiction (Substance Use Disorder))
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060
Santa Cruz County (831) 469-1700

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 Jesse Wagner's NPI number?

The NPI number for Jesse Wagner is 1669030631. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Jesse Wagner located?

Jesse Wagner practices at 380 Encinal St Ste 200, Santa Cruz, CA 95060. The listed phone number is (831) 469-1700.

What is Jesse Wagner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Jesse Wagner was last updated on June 4, 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.