NATHANAEL WAGNER
NPI 1750875704
Counselor - Professional in Grand Rapids, MI

Active since June 21, 2018
5242 PLAINFIELD AVE NE STE C, GRAND RAPIDS, MI 49525(616) 481-7106 Get Directions Write a Review

NPPES record last updated: June 21, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nathanael Wagner NPPES

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

NATHANAEL WAGNER (NPI 1750875704) is an individual professional provider in Grand Rapids, Michigan, licensed in Michigan (6401010643) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1750875704
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameNATHANAEL WAGNER
Location Address5242 PLAINFIELD AVE NE STE CGrand Rapids, MI 49525-1084
Mailing Address1157 Treeway NwSparta, MI 49345-8240
Sole ProprietorYes
Enumeration DateJune 21, 2018
NPI 1750875704 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 MI · 6401010643
5242 PLAINFIELD AVE NE STE C, Grand Rapids, MI 49525

Other Providers at the Same Location NPPES 13

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

Community/Behavioral Health
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Professional)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Professional)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Mental Health)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Social Worker (Clinical)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Professional)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525
Counselor (Professional)
5242 PLAINFIELD AVE NE STE C
GRAND RAPIDS, MI 49525

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 Nathanael Wagner's NPI number?

The NPI number for Nathanael Wagner is 1750875704. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Nathanael Wagner located?

Nathanael Wagner practices at 5242 Plainfield Ave NE Ste C, Grand Rapids, MI 49525. The listed phone number is (616) 481-7106.

What is Nathanael 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 Nathanael Wagner was last updated on June 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.