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JAMES EVERETT WAGNER BS, QMHA
NPI 1952842346
Peer Specialist in Medford, OR

Active since March 17, 2017
1175 E MAIN ST STE 1C, MEDFORD, OR 97504(541) 772-0127 Get Directions Write a Review

NPPES record last updated: February 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2018, Feb 23, 2018, Mar 17, 2017 (3 updates tracked since 2017).

About James Everett Wagner Bs, Qmha NPPES

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

JAMES EVERETT WAGNER BS, QMHA (NPI 1952842346) is an individual peer specialist in Medford, Oregon and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1952842346
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJAMES EVERETT WAGNERCredential: BS, QMHA
Location Address1175 E MAIN ST STE 1CMedford, OR 97504-7457
Mailing Address715 Sw Ramsey AveGrants Pass, OR 97527-5500 · (541) 474-5579
Phone(541) 772-0127
Sole ProprietorNo
Enumeration DateMarch 17, 2017
Last NPPES UpdateFebruary 26, 20183 updates tracked since enumeration
✔ NPI 1952842346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1175 E MAIN ST STE 1C, Medford, OR 97504
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Other Identifiers 1

Medicaid1952842346OR

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.

MILTON TAULBEE MCCUISTION QMHA
Counselor
1175 E MAIN ST STE 1C
MEDFORD, OR 97504
Jackson County (541) 772-0127
MELINDA S BARNHARDT
Peer Specialist
1175 E MAIN ST STE 1C
MEDFORD, OR 97504
Jackson County (541) 956-4943
ELENA CARRIE MEYER MS, LPC, NCC
Counselor (Professional)
1175 E MAIN ST STE 1C
MEDFORD, OR 97504
Jackson County (541) 772-0127
MS. ANNE LOIS DUPREE
Peer Specialist
1175 E MAIN ST STE 1C
MEDFORD, OR 97504
Jackson County (541) 772-0127
MARLON CAMPOS
Counselor
1175 E MAIN ST STE 1C
MEDFORD, OR 97504
Jackson County (541) 772-0127
LAUREN VAIL PSYD
Psychologist
1175 E MAIN ST STE 1C
MEDFORD, OR 97504
Jackson County (541) 772-0127
CYNTHIA BOERSMA
Counselor (Mental Health)
1175 E MAIN ST STE 1C
MEDFORD, OR 97504
Jackson County (541) 772-0127
CHEDRIC ROBERT MONAHAN LCSW
Social Worker (Clinical)
1175 E MAIN ST STE 1C
MEDFORD, OR 97504
Jackson County (541) 772-0127

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 James Wagner's NPI number?

The NPI number for James Wagner is 1952842346. It was assigned to this individual provider in the NPPES registry on March 17, 2017.

Where is James Wagner located?

James Wagner practices at 1175 E Main St Ste 1C, Medford, OR 97504. The listed phone number is (541) 772-0127.

What is James Wagner's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for James Wagner was last updated on February 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.