VICKIE JOAN WAGNER
NPI 1982117198
Marriage & Family Therapist in Pasadena, CA

Active since November 09, 2017Opted out of Medicare · through Jan 1, 2028
210 S DE LACEY AVE STE 110, PASADENA, CA 91105(626) 395-7100 Get Directions Write a Review

NPPES record last updated: November 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vickie Joan Wagner NPPES

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

VICKIE JOAN WAGNER (NPI 1982117198) is an individual marriage & family therapist in Pasadena, California and active in the NPI registry since November 2017. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1982117198
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameVICKIE JOAN WAGNER
Location Address210 S DE LACEY AVE STE 110Pasadena, CA 91105-2074
Mailing Address210 S De Lacey Ave Ste 110Pasadena, CA 91105-2074 · (626) 395-7100
Sole ProprietorNo
Enumeration DateNovember 9, 2017
NPI 1982117198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
210 S DE LACEY AVE STE 110, Pasadena, CA 91105

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Vickie Joan Wagner has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Marriage & Family Therapist
210 S DE LACEY AVE STE 110
PASADENA, CA 91105
Social Worker (Clinical)
210 S DE LACEY AVE STE 110
PASADENA, CA 91105
Rehabilitation Practitioner
210 S DE LACEY AVE STE 110
PASADENA, CA 91105
Rehabilitation Practitioner
210 S DE LACEY AVE STE 110
PASADENA, CA 91105
Rehabilitation Practitioner
210 S DE LACEY AVE STE 110
PASADENA, CA 91105
Rehabilitation Practitioner
210 S DE LACEY AVE STE 110
PASADENA, CA 91105
Marriage & Family Therapist
210 S DE LACEY AVE STE 110
PASADENA, CA 91105
Marriage & Family Therapist
210 S DE LACEY AVE STE 110
PASADENA, CA 91105

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 Vickie Wagner's NPI number?

The NPI number for Vickie Wagner is 1982117198. It was assigned to this individual provider in the NPPES registry on November 9, 2017.

Where is Vickie Wagner located?

Vickie Wagner practices at 210 S De Lacey Ave Ste 110, Pasadena, CA 91105. The listed phone number is (626) 395-7100.

What is Vickie Wagner's specialty?

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

Is Vickie Wagner enrolled in Medicare?

No. Vickie Wagner has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Vickie Wagner was last updated on November 9, 2017. 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.