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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JACKSON TYLER WAGENER
NPI 1881509610
Counselor - Addiction (Substance Use Disorder) in Columbus, OH

Active since August 17, 2026
813 BRYDEN RD, COLUMBUS, OH 43205(614) 808-3198 Get Directions Write a Review

NPPES record added: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Jackson Tyler Wagener NPPES

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

JACKSON TYLER WAGENER (NPI 1881509610) is an individual addiction (substance use disorder) provider in Columbus, Ohio, licensed in Ohio (APP-001105546) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1881509610
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACKSON TYLER WAGENER
Location Address813 BRYDEN RDColumbus, OH 43205-1759
Mailing Address198 E Norwich AveColumbus, OH 43201-1200 · (419) 410-0895
Phone(614) 808-3198
Sole ProprietorYes
Enumeration DateAugust 17, 2026
NPPES CertifiedAugust 17, 2026
✔ NPI 1881509610 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 OH · APP-001105546
813 BRYDEN RD, Columbus, OH 43205
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Other Providers at the Same Location NPPES 17

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

HUBERT DORN HAYES II LSW, CDCA
Counselor (Mental Health)
813 BRYDEN RD
COLUMBUS, OH 43205
Franklin County (614) 392-7253
DEANNA MARIE WALLACE
Counselor (Addiction (Substance Use Disorder))
813 BRYDEN RD
COLUMBUS, OH 43205
Franklin County (614) 808-3198
ANDREW MORETTO CDCA
Counselor (Addiction (Substance Use Disorder))
813 BRYDEN RD
COLUMBUS, OH 43205
Franklin County (614) 808-3198
ARTHUR PATE PEER SUPPORT
Peer Specialist
813 BRYDEN RD
COLUMBUS, OH 43205
Franklin County (614) 392-7253
JUSTIN W GRAY
Peer Specialist
813 BRYDEN RD
COLUMBUS, OH 43205
Franklin County (614) 392-7253
ANGELETTA L FAIR
Counselor (Addiction (Substance Use Disorder))
813 BRYDEN RD
COLUMBUS, OH 43205
Franklin County (614) 392-7253
NASTASHA ALLEN
Counselor (Addiction (Substance Use Disorder))
813 BRYDEN RD
COLUMBUS, OH 43205
Franklin County (614) 808-3198
MRS. SHAQUAYLA CHEVONNE CALDWELL CDCA
Counselor (Addiction (Substance Use Disorder))
813 BRYDEN RD
COLUMBUS, OH 43205
Franklin County (614) 808-3198

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 Jackson Wagener's NPI number?

The NPI number for Jackson Wagener is 1881509610. It was assigned to this individual provider in the NPPES registry on August 17, 2026.

Where is Jackson Wagener located?

Jackson Wagener practices at 813 Bryden Rd, Columbus, OH 43205. The listed phone number is (614) 808-3198.

What is Jackson Wagener'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 Jackson Wagener was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.