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VONDA KARLA WAGNER MA
NPI 1740450741
Counselor - Professional in Johnson City, TN

Active since March 05, 2008PECOS Enrolled
2243 EDDIE WILLIAMS RD, JOHNSON CITY, TN 37601(423) 928-5627 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vonda Karla Wagner Ma NPPES

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

VONDA KARLA WAGNER MA (NPI 1740450741) is an individual professional provider in Johnson City, Tennessee, licensed in Tennessee (3674) and active in the NPI registry since March 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740450741
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameVONDA KARLA WAGNERCredential: MA
Location Address2243 EDDIE WILLIAMS RDJohnson City, TN 37601-2872
Mailing Address1167 Spratlin Park DrGray, TN 37615-6205 · (423) 467-3600 · Fax (423) 467-3644
Phone(423) 928-5627
Sole ProprietorNo
Enumeration DateMarch 5, 2008
Last NPPES UpdateAugust 10, 2016
✔ NPI 1740450741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in TN · 3674
Also ListedTechnician, OtherTaxonomy 247200000X
2243 EDDIE WILLIAMS RD, Johnson City, TN 37601
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vonda Karla Wagner Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. BARBARA S BAXLEY
Technician, Other
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601
Washington County (423) 975-6000
CANDI MICHELLE DOULGAS
Counselor
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601
Washington County (423) 928-5627
KEVIN LYNN THOMPSON BSW
Case Manager/Care Coordinator
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601
Washington County (423) 975-6000
AARON JORDAN COX BA
Counselor
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601
Washington County (423) 975-6000
SHOUNDA MICHELLE STEVENSON BS
Case Manager/Care Coordinator
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601
Washington County (423) 928-5627
MRS. CAROLINE REAGAN HOLLAND MASTER OF SCIENCE
Technician, Other
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601
Washington County (423) 928-5627
MEGAN BROOKE CLARK BS
Counselor
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601
Washington County (423) 928-5627
KAREN S BARRETT BA
Counselor
2243 EDDIE WILLIAMS RD
JOHNSON CITY, TN 37601
Washington County (423) 928-5627

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 Vonda Wagner's NPI number?

The NPI number for Vonda Wagner is 1740450741. It was assigned to this individual provider in the NPPES registry on March 5, 2008.

Where is Vonda Wagner located?

Vonda Wagner practices at 2243 Eddie Williams Rd, Johnson City, TN 37601. The listed phone number is (423) 928-5627.

What is Vonda Wagner's specialty?

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

Is Vonda Wagner enrolled in Medicare?

Yes. Vonda Wagner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Vonda Wagner was last updated on August 10, 2016. 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.