CHRISTINA WAGONER (NPI# 1205288271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205288271 |
| Entity Type | Individual |
| Full Name | CHRISTINA WAGONER |
| Credential | LCPC |
| Practice Address |
65 Thomas Johnson Dr Suite A Frederick MD 21702-4371 |
| Practice Telephone | 2405759688 |
| Mailing Telephone | 2405759688 |
| Enumeration Date | 2016-07-01 |
| Last Update Date | 2016-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC7181 | MD | Behavioral Health & Social Service Providers |
| Street Address |
65 THOMAS JOHNSON DR SUITE A |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546994 | Regina Kundell | Nurse Practitioner | 65 Thomas Johnson Dr, C, Frederick, MD 21702-4371 | 2005-05-27 |
| 1770115875 | Stefanie Cullum | Behavior Technician | 65 Thomas Johnson Dr, Frederick, MD 21702-4371 | 2020-02-06 |
| 1871137505 | Alyssa Heflin | Behavior Technician | 65 Thomas Johnson Dr, Frederick, MD 21702-4371 | 2019-11-06 |
| 1144874413 | Rebecca Kucevic | Behavior Technician | 65 Thomas Johnson Dr, Frederick, MD 21702-4371 | 2019-07-25 |
| 1649637554 | Laren Anderson | Counselor | 65 Thomas Johnson Dr, #a Attn: Laren Anderson, Frederick, MD 21702-4371 | 2016-01-22 |
| 1366838617 | Kelsey Sue Eaton | Community Health Worker | 65 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4371 | 2015-04-14 |
| 1871986075 | Sam Specht | Community Health Worker | 65 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4371 | 2015-03-12 |
| 1407247638 | Emma Rivera | Community Health Worker | 65 Thomas Johnson Dr, Ste A, Frederick, MD 21702-4371 | 2015-02-10 |
| 1255746020 | Todd Phillips | Physical Therapist | 65 Thomas Johnson Dr, Suite D, Frederick, MD 21702-4371 | 2014-06-30 |
| 1407278575 | Rachel Ayres | Community Health Worker | 65 Thomas Johnson Dr, Suite A, Frederick, MD 21702-4371 | 2014-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780285023 | Wendy L Gill | Counselor | 2714 Egret Way, Frederick, MD 21701-1912 | 2020-11-03 |
| 1164032942 | Charles Lee Jenkins Jr. | Counselor | 4705 Verdana Loop, Frederick, MD 21703-2733 | 2020-08-05 |
| 1942827951 | Cruzan Homestead | Counselor | 5305 Jefferson Pike Ste C7, Frederick, MD 21703-6982 | 2020-06-26 |
| 1265053243 | Careapy, LLC | Counselor | 5104 Pegasus Ct Ste B, Frederick, MD 21704-8323 | 2020-05-01 |
| 1720620792 | Christine Suhler | Counselor | 3522 Worthington Blvd Unit 201, Frederick, MD 21704-7049 | 2019-10-11 |
| 1093364499 | Safrianna Alyssa Marie Degroat | Counselor | 122 E Patrick St # 108, Frederick, MD 21701-5630 | 2019-09-09 |
| 1376024935 | Meghan Elizabeth Harrington-patton | Counselor | 7602 Irongate Ln, Frederick, MD 21702-3562 | 2018-08-22 |
| 1639665995 | Ryan Defibaugh | Counselor | 8006 Broken Reed Ct, Frederick, MD 21701-3279 | 2018-07-10 |
| 1659874527 | Malaka Castle | Counselor | 915 Toll House Ave Ste 102, Frederick, MD 21701-5911 | 2018-03-16 |
| 1487184826 | Hughescounselingservices LLC | Counselor | 201a Broadway St, Frederick, MD 21701-6561 | 2017-06-18 |
| Find all providers in FREDERICK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.