ABIGAIL WAGNON
NPI 1962053835
Marriage & Family Therapist in Pryor, OK

Q: What is Abigail Wagnon's NPI number?

The NPI number for Abigail Wagnon is 1962053835. It was assigned to this individual provider in the NPPES registry on September 23, 2019.

Q: What is Abigail Wagnon'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 Abigail Wagnon was last updated on March 11, 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.

Active since September 23, 2019PECOS Enrolled

231 E GRAHAM AVE, PRYOR, OK 74361(918) 418-3691 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Abigail Wagnon NPPES

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

ABIGAIL WAGNON (NPI 1962053835) is an individual marriage & family therapist in Pryor, Oklahoma and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1962053835

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameABIGAIL WAGNON

Location Address231 E GRAHAM AVEPryor, OK 74361-2436

Mailing Address231 E Graham AvePryor, OK 74361-2436

Phone(918) 418-3691

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 23, 2019

Last NPPES UpdateMarch 11, 2024

NPPES CertifiedMarch 11, 2024

✔ NPI 1962053835 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

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 ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

231 E GRAHAM AVE, Pryor, OK 74361

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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)

Abigail Wagnon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274013172

PECOS Enrollment IDI20260218004273

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.

TRACY PRUITT

Case Manager/Care Coordinator