ELISABETH P WAGNER
NPI 1760095152
Counselor - Mental Health in West Valley City, UT

Q: What is Elisabeth Wagner's NPI number?

The NPI number for Elisabeth Wagner is 1760095152. It was assigned to this individual provider in the NPPES registry on August 26, 2020.

Q: What is Elisabeth Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Elisabeth Wagner was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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 August 26, 2020PECOS Enrolled

3737 W 4100 S, WEST VALLEY CITY, UT 84120(888) 949-4864(206) 901-2010 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2025, Jan 24, 2023, Sep 23, 2021 and 2 more (5 updates tracked since 2020).

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About Elisabeth P Wagner NPPES

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

ELISABETH P WAGNER (NPI 1760095152) is an individual mental health provider in West Valley City, Utah, licensed in Utah (9443009-6004) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760095152

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameELISABETH P WAGNER

Location Address3737 W 4100 SWest Valley City, UT 84120-5543

Mailing Address3725 W 4100 S Ste 201Salt Lake City, UT 84120-5411

Phone(888) 949-4864

Fax(206) 901-2010

Sole ProprietorNo

Enumeration DateAugust 26, 2020

Last NPPES UpdateFebruary 25, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2025

✔ NPI 1760095152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in UT · 9443009-6004

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

3737 W 4100 S, West Valley City, UT 84120

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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)

Elisabeth P Wagner 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 20

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

TESSA NELSON

Social Worker