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MR. JONATHAN STEWART WAGNER LPC-MHSP, NCC
NPI 1679144836
Counselor - Mental Health in Nampa, ID

Active since July 08, 2021
2141 W MOOSE CREEK DR, NAMPA, ID 83686(615) 426-7352 Get Directions Write a Review

NPPES record last updated: July 8, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jonathan Stewart Wagner Lpc-mhsp, Ncc NPPES

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

MR. JONATHAN STEWART WAGNER LPC-MHSP, NCC (NPI 1679144836) is an individual mental health provider in Nampa, Idaho, licensed in Tennessee (4117) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1679144836
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JONATHAN STEWART WAGNERCredential: LPC-MHSP, NCC
Location Address2141 W MOOSE CREEK DRNampa, ID 83686-5185
Mailing Address2141 W Moose Creek DrNampa, ID 83686-5185 · (615) 426-7352
Phone(615) 426-7352
Sole ProprietorYes
Enumeration DateJuly 8, 2021
NPPES CertifiedJune 12, 2021
✔ NPI 1679144836 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 TN · 4117
2141 W MOOSE CREEK DR, Nampa, ID 83686
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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 Jonathan Wagner's NPI number?

The NPI number for Jonathan Wagner is 1679144836. It was assigned to this individual provider in the NPPES registry on July 8, 2021.

Where is Jonathan Wagner located?

Jonathan Wagner practices at 2141 W Moose Creek Dr, Nampa, ID 83686. The listed phone number is (615) 426-7352.

What is Jonathan 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 Jonathan Wagner was last updated on July 8, 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.