SACRED SPACE CHRISTIAN COUNSELING LLC
NPI 1801783063
Counselor - Mental Health in Wauseon, OH

Q: What is Sacred Space Christian Counseling LLC's specialty?

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

Active since June 20, 2025

1150 N OTTOKEE ST, WAUSEON, OH 43567(419) 330-4141(419) 330-4171 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Sacred Space Christian Counseling Llc NPPES

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

SACRED SPACE CHRISTIAN COUNSELING LLC (NPI 1801783063) is a healthcare organization registered as a mental health in Wauseon, Ohio and active in the NPI registry since June 2025. The organization lists Jean Wagner, Owner, as its authorized official.

NPPES Registry Identity

NPI1801783063

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameSACRED SPACE CHRISTIAN COUNSELING LLC

Location Address1150 N OTTOKEE STWauseon, OH 43567-1912

Mailing Address13361 County Road C2Holgate, OH 43527-9628 · (419) 438-6465

Phone(419) 330-4141

Fax(419) 330-4171

Organization SubpartNo

Authorized OfficialJean WagnerOwner · (419) 438-6465

Enumeration DateJune 20, 2025

NPPES CertifiedJune 20, 2025

✔ NPI 1801783063 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1150 N OTTOKEE ST, Wauseon, OH 43567

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sacred Space Christian Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sacred Space Christian Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jean Wagner, LPCC

Mental Health Counselor

NPI 1326487679

113 S. BEECH ST.
Bryan, OH 43506

(419) 633-3333

✔ PECOS22 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sacred Space Christian Counseling LLC's NPI number?

The NPI number for Sacred Space Christian Counseling LLC is 1801783063. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Sacred Space Christian Counseling LLC located?

Sacred Space Christian Counseling LLC is located at 1150 N Ottokee St, Wauseon, OH 43567. The listed phone number is (419) 330-4141.

What is Sacred Space Christian Counseling LLC's specialty?

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

Is Sacred Space Christian Counseling LLC enrolled in Medicare?

Yes. Sacred Space Christian Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacred Space Christian Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Sacred Space Christian Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Sacred Space Christian Counseling LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Sacred Space Christian Counseling LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sacred Space Christian Counseling LLC was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.