Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JESSICA WAGNER
NPI 1700790904
Counselor - Professional in Connellsville, PA

Q: What is Jessica Wagner's NPI number?

The NPI number for Jessica Wagner is 1700790904. It was assigned to this individual provider in the NPPES registry on October 2, 2026. The provider is also known as Jessica Divittorio.

Q: What is Jessica Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Wagner was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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 02, 2026

2787 MEMORIAL BLVD UNIT 2, CONNELLSVILLE, PA 15425(724) 603-2657 Get Directions Write a Review

NPPES record added: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jessica Wagner NPPES

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

JESSICA WAGNER (NPI 1700790904) is an individual professional provider in Connellsville, Pennsylvania, licensed in Pennsylvania (PC021040) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1700790904

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameJESSICA WAGNER

Location Address2787 MEMORIAL BLVD UNIT 2Connellsville, PA 15425-1422

Mailing Address2787 Memorial Blvd Unit 2Connellsville, PA 15425-1422 · (724) 603-2657

Phone(724) 603-2657

Sole ProprietorNo

Enumeration DateOctober 2, 2026

NPPES CertifiedOctober 2, 2026

✔ NPI 1700790904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in PA · PC021040

2787 MEMORIAL BLVD UNIT 2, Connellsville, PA 15425

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Other Names 1

Former Name (1)Jessica Divittorio

Other Identifiers 1

OtherPC021040PA · State Lic

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.

SERENITY HILL COUNSELING & WELLNESS LLC

Social Worker (Clinical)

2787 MEMORIAL BLVD UNIT 2
CONNELLSVILLE, PA 15425

Fayette County (724) 603-2647

KATELYNN HANNAH BLACK LSW

Social Worker (Clinical)

2787 MEMORIAL BLVD UNIT 2
CONNELLSVILLE, PA 15425

Fayette County (724) 603-2657

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 Jessica Wagner's NPI number?

The NPI number for Jessica Wagner is 1700790904. It was assigned to this individual provider in the NPPES registry on October 2, 2026. The provider is also known as Jessica Divittorio.

Where is Jessica Wagner located?

Jessica Wagner practices at 2787 Memorial Blvd Unit 2, Connellsville, PA 15425. The listed phone number is (724) 603-2657.

What is Jessica Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jessica Wagner was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.