JOHN M. WAGNER M.S.
NPI 1861802498
Marriage & Family Therapist in Boulder, CO

Q: What is John Wagner's NPI number?

The NPI number for John Wagner is 1861802498. It was assigned to this individual provider in the NPPES registry on May 5, 2014.

Q: What is John Wagner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for John Wagner was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 05, 2014PECOS Enrolled

580 MOHAWK DR, BOULDER, CO 80303(303) 338-4545 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 11, 2021, Jan 9, 2017 (2 updates tracked since 2017).

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About John M. Wagner M.s. NPPES

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

JOHN M. WAGNER M.S. (NPI 1861802498) is an individual marriage & family therapist in Boulder, Colorado, licensed in Colorado (MFT.0001333) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1861802498

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJOHN M. WAGNERCredential: M.S.

Location Address580 MOHAWK DRBoulder, CO 80303-3712

Mailing Address10350 E Dakota AveDenver, CO 80247-1314

Phone(303) 338-4545

Sole ProprietorYes

Enumeration DateMay 5, 2014

Last NPPES UpdateJune 11, 20212 updates tracked since enumeration

NPPES CertifiedJune 11, 2021

✔ NPI 1861802498 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CO · MFT.0001333

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License NLC.0103614 (CO)

580 MOHAWK DR, Boulder, CO 80303

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John M. Wagner M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

CHRISTINE D RINGDAHL PT

Physical Therapist