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GARY ALLEN WAGENAAR MS LADC
NPI 1851683049
Counselor - Addiction (Substance Use Disorder) in Austin, MN

Active since May 06, 2011
1000 1ST DR NW, AUSTIN, MN 55912(507) 434-1928(507) 434-1927 Get Directions Write a Review

NPPES record last updated: May 6, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Allen Wagenaar Ms Ladc NPPES

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

GARY ALLEN WAGENAAR MS LADC (NPI 1851683049) is an individual addiction (substance use disorder) provider in Austin, Minnesota, licensed in Minnesota (300609) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1851683049
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameGARY ALLEN WAGENAARCredential: MS LADC
Location Address1000 1ST DR NWAustin, MN 55912-2941
Mailing Address1000 1st Dr NwAustin, MN 55912-2941 · (507) 434-1928 · Fax (507) 434-1927
Phone(507) 434-1928
Fax(507) 434-1927
Sole ProprietorNo
Enumeration DateMay 6, 2011
✔ NPI 1851683049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 300609
1000 1ST DR NW, Austin, MN 55912
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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.

IZZA MIR D.O.
Internal Medicine
1000 1ST DR NW
AUSTIN, MN 55912
Mower County (507) 433-7351
MRS. KATHERINE BURLAS SEBALD PA-C
Physician Assistant
1000 1ST DR NW
AUSTIN, MN 55912
Mower County (507) 433-7351
ETHAN ANDREW CROCKER DPT
Physical Medicine & Rehabilitation
1000 1ST DR NW
AUSTIN, MN 55912
Mower County (507) 433-8758
HEATHER MARIE OSGOOD AUDIOLOGIST
Audiologist
1000 1ST DR NW
AUSTIN, MN 55912
Mower County (507) 434-1092
OLAF JS SAMUELSON DO
Internal Medicine
1000 1ST DR NW
AUSTIN, MN 55912
Mower County (507) 433-7351
CYNTHIA MARIE DUBE M.D.
Internal Medicine
1000 1ST DR NW
AUSTIN, MN 55912
Mower County (507) 434-1092
JAMES ANDREW BOHRER M.D.
Ophthalmology
1000 1ST DR NW
AUSTIN, MN 55912
Mower County (507) 434-1092
BOSHENG YANG M.D.
Family Medicine
1000 1ST DR NW
AUSTIN, MN 55912
Mower County (507) 434-1092

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 Gary Wagenaar's NPI number?

The NPI number for Gary Wagenaar is 1851683049. It was assigned to this individual provider in the NPPES registry on May 6, 2011.

Where is Gary Wagenaar located?

Gary Wagenaar practices at 1000 1st Dr NW, Austin, MN 55912. The listed phone number is (507) 434-1928.

What is Gary Wagenaar's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Wagenaar was last updated on May 6, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.