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KELL WAGNER NCC, LPC ASSOCIATE
NPI 1841660636
Counselor - Professional in Medford, OR

Active since October 06, 2015
1040 CRATER LAKE AVE STE D, MEDFORD, OR 97504(541) 840-7684 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2021, Oct 24, 2017 (2 updates tracked since 2017).

About Kell Wagner Ncc, Lpc Associate NPPES

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

KELL WAGNER NCC, LPC ASSOCIATE (NPI 1841660636) is an individual professional provider in Medford, Oregon, licensed in Oregon (C6938) and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1841660636
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameKELL WAGNERCredential: NCC, LPC ASSOCIATE
Location Address1040 CRATER LAKE AVE STE DMedford, OR 97504-6295
Mailing Address1040 Crater Lake Ave Ste DMedford, OR 97504-6295
Phone(541) 840-7684
Sole ProprietorYes
Enumeration DateOctober 6, 2015
Last NPPES UpdateJanuary 18, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2024
✔ NPI 1841660636 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 OR · C6938
1040 CRATER LAKE AVE STE D, Medford, OR 97504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

PEACE IN MIND COUNSELING
Clinic/Center (Mental Health (Including Community Mental Health Center))
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504
Jackson County (541) 951-1098
ANDREW STUCK
Counselor (Mental Health)
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504
Jackson County (541) 500-8655
RAYMOND DIRK SHUMWAY LCSW
Social Worker (Clinical)
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504
Jackson County (435) 216-6073
TRAVIS SCOTT BURCH
Counselor (Professional)
1040 CRATER LAKE AVE STE D
MEDFORD, OR 97504
Jackson County (541) 500-8655

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 Kell Wagner's NPI number?

The NPI number for Kell Wagner is 1841660636. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Kell Wagner located?

Kell Wagner practices at 1040 Crater Lake Ave Ste D, Medford, OR 97504. The listed phone number is (541) 840-7684.

What is Kell Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Kell Wagner accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Kell Wagner 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 Kell Wagner was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.