ALIX VITACCO WAGNER PPSC
NPI 1770452278
Counselor - School in Santa Rosa, CA

Active since November 03, 2025
1777 WEST AVE, SANTA ROSA, CA 95407(707) 546-7050(707) 546-0434 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alix Vitacco Wagner Ppsc NPPES

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

ALIX VITACCO WAGNER PPSC (NPI 1770452278) is an individual school provider in Santa Rosa, California and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1770452278
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NameALIX VITACCO WAGNERCredential: PPSC
Location Address1777 WEST AVESanta Rosa, CA 95407-7449
Mailing Address1777 West AveSanta Rosa, CA 95407-7449 · (707) 546-7050 · Fax (707) 546-0434
Fax(707) 546-0434
Sole ProprietorNo
Enumeration DateNovember 3, 2025
NPPES CertifiedNovember 3, 2025
NPI 1770452278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
1777 WEST AVE, Santa Rosa, CA 95407

Other Providers at the Same Location NPPES

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

Counselor
1777 WEST AVE
SANTA ROSA, CA 95407

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 Alix Wagner's NPI number?

The NPI number for Alix Wagner is 1770452278. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Where is Alix Wagner located?

Alix Wagner practices at 1777 West Ave, Santa Rosa, CA 95407. The listed phone number is (707) 546-7050.

What is Alix Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in School, with taxonomy code 101YS0200X.

When was this NPI record last updated?

The NPPES record for Alix Wagner was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.