JEAN MARIE WAGNER LMFT
NPI 1730629361
Marriage & Family Therapist in Lakeville, MN

Q: What is Jean Wagner's NPI number?

The NPI number for Jean Wagner is 1730629361. It was assigned to this individual provider in the NPPES registry on March 1, 2017.

Q: What is Jean 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 Jean Wagner was last updated on March 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 March 01, 2017PECOS Enrolled

7580 160TH ST W, LAKEVILLE, MN 55044(952) 564-6276 Get Directions Write a Review

NPPES record last updated: March 1, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jean Marie Wagner Lmft NPPES

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

JEAN MARIE WAGNER LMFT (NPI 1730629361) is an individual marriage & family therapist in Lakeville, Minnesota, licensed in Minnesota (3028) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1730629361

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJEAN MARIE WAGNERCredential: LMFT

Location Address7580 160TH ST WLakeville, MN 55044-8348

Mailing Address16569 Interlachen BlvdLakeville, MN 55044-4601 · (612) 414-9544

Phone(952) 564-6276

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateMarch 1, 2017

✔ NPI 1730629361 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 MN · 3028

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.

7580 160TH ST W, Lakeville, MN 55044

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jean Marie Wagner Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527534007

PECOS Enrollment IDI20260421004137

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

LINDA M TUNELL MA

Psychologist