PETER WAGNER
NPI 1780485128
Peer Specialist in Las Vegas, NV

Active since March 21, 2025
3441 W SAHARA AVE STE C1, LAS VEGAS, NV 89102(702) 445-7318 Get Directions Write a Review

NPPES record last updated: March 21, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Peer Specialist

About PETER WAGNER

This page provides the complete NPI Profile along with additional information for Peter Wagner, a provider established in Las Vegas, Nevada with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1780485128 assigned on March 2025. The practitioner's primary taxonomy code is 175T00000X with license number PRSS5282 (NV). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1780485128 Verify this NPI
Provider Name
PETER WAGNER
Gender
Male
Entity Type
Individual
Location Address
3441 W SAHARA AVE STE C1 LAS VEGAS, NV 89102
Location Phone
(702) 445-7318
Mailing Address
3441 W SAHARA AVE STE C1 LAS VEGAS, NV 89102
Mailing Phone
(702) 445-7318
Is Sole Proprietor?
No
Enumeration Date
03-21-2025
Last Update Date
03-21-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
License No.
PRSS5282
License State
NV
Taxonomy Description
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Counselor (Addiction (Substance Use Disorder))
3441 W SAHARA AVE STE C1
LAS VEGAS, NV 89102
Peer Specialist
3441 W SAHARA AVE STE C1
LAS VEGAS, NV 89102
Peer Specialist
3441 W SAHARA AVE STE C1
LAS VEGAS, NV 89102
Community Health Worker
3441 W SAHARA AVE STE C1
LAS VEGAS, NV 89102
Social Worker (Clinical)
3441 W SAHARA AVE STE C1
LAS VEGAS, NV 89102
Counselor (Addiction (Substance Use Disorder))
3441 W SAHARA AVE STE C1
LAS VEGAS, NV 89102
Counselor (Addiction (Substance Use Disorder))
3441 W SAHARA AVE STE C1
LAS VEGAS, NV 89102
Substance Abuse Rehabilitation Facility
3441 W SAHARA AVE STE C1
LAS VEGAS, NV 89102

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780485128, enumerated as an "individual" on March 21, 2025.

The provider is located at 3441 W SAHARA AVE STE C1 LAS VEGAS, NV 89102 and the phone number is (702) 445-7318.

Peer Specialist with taxonomy code 175T00000X.