MR. JAMES A WAGNER (NPI# 1376718288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376718288 |
| Entity Type | Individual |
| Full Name | MR. JAMES A WAGNER |
| Credential | CADCIII-RCS |
| Practice Address |
524 Main Street Suite 302 Racine WI 53403-1032 |
| Practice Telephone | 2626321780 |
| Practice Fax Number | 2626320895 |
| Mailing Telephone | 2626321780 |
| Mailing Fax Number | 2626320895 |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
10328 | WI | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 39172800 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568965234 | James Wagner | Physical Therapy Assistant | 316 Madison St, Niles, MI 49120-3128 | 2018-03-08 |
| 1245740687 | James Wagner | Marriage & Family Therapist | 2324 University Ave W Ste 100, Saint Paul, MN 55114-8759 | 2017-10-11 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1598969545 | James William Wagner | Chiropractor | 9574 Murray Dr, La Mesa, CA 91942 | 2007-06-13 |
| 1326188293 | James George Wagner | Obstetrics & Gynecology | 8000 Ave. J.t. Pinero, Plaza Cayey, Of. 204, Cayey, PR 00736 | 2007-02-08 |
| 1851469480 | James P Wagner | Family Medicine | 708 Viand Street, Point Pleasant, WV 25550 | 2006-12-01 |
| 1255412615 | James Allen Wagner | Rehabilitation Counselor | 11301 Wilshire Bl., Los Angeles, CA 90073 | 2006-10-18 |
| 1073536934 | James D Wagner | Internal Medicine | 890 Beaver Grade Rd Ste 3, Moon Township, PA 15108-2653 | 2006-07-25 |
| 1295783256 | James M Wagner | Dentist | 2620 Regatta Dr, 110, Las Vegas, NV 89128-6891 | 2006-05-04 |
| 1306804448 | James Blake Wagner | Physical Therapist | 1525 Country Club Rd, Sherwood, AR 72120-5076 | 2006-05-01 |
| Street Address |
524 MAIN STREET SUITE 302 |
| City | RACINE |
| State | WI |
| Zip Code | 53403-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689847188 | Susanne L Wroblewski | Counselor | 524 Main Street, Suite 302, Racine, WI 53403-1032 | 2008-04-07 |
| 1982877486 | Zimmerman Consulting Inc | Community/Behavioral Health | 524 Main Street, Suite 302, Racine, WI 53403-1032 | 2008-04-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124676259 | Quality Care LLC | Clinic/Center | 2051 Mead St, Racine, WI 53403 | 2019-09-02 |
| 1073999355 | Wisconsin Lutheran Child & Family Service, Inc. | Social Worker | 6150 Taylor Avenue, Racine, WI 53403 | 2015-08-10 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1811278054 | Michelle Gloria Parisot | Psychologist | 1320 Wisconsin Ave., Racine, WI 53403 | 2011-09-01 |
| 1720372022 | Katie Hagen | Social Worker | 1717 Taylor Avenue, Racine, WI 53403 | 2011-06-03 |
| 1043431570 | Rita S Harris | Physical Therapy Assistant | Lakeshore Manor 1320 Wisconsin Avenue, Racine, WI 53403 | 2007-05-01 |
| 1336281336 | Linda J Hockensmith | Occupational Therapist | 4214 Sheridan Road, Racine, WI 53403 | 2007-02-13 |
| 1851447387 | Richard John Kemper | Dentist | 1509 Washington Ave, Racine, WI 53403 | 2007-01-26 |
| 1689760332 | Lester Leslie Higgenbottom | Counselor | 1820 Arlington Ave, Racine, WI 53403 | 2006-10-04 |
| 1114942315 | Access Medical Center, LLC | Clinic/Center | 4216 Old Green Bay Rd, Racine, WI 53403 | 2006-07-12 |
| Find all providers in zip 53403 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396255 | Cassandra C Coates | Counselor | 134 Main St Apt 117, Racine, WI 53403-4623 | 2020-11-03 |
| 1871953950 | Amybeth Mahoney | Counselor | 4726 N Green Bay Rd, Racine, WI 53404-1108 | 2016-03-02 |
| 1255798351 | Lazria Price | Counselor | 3801 Monarch Drive 2d, Racine, WI 53406-5500 | 2016-01-20 |
| 1881067197 | Jerry Morris | Counselor | 1303 Chatham St, Racine, WI 53402-4947 | 2015-11-09 |
| 1225434244 | Tuanquilla Montessa Thompson | Counselor | 829 Wisconsin Ave, Racine, WI 53403-1505 | 2014-11-18 |
| 1457780496 | Pheynell Branch | Counselor | 1650 Wasington Ave, Racine, WI 53403 | 2013-11-08 |
| 1578811980 | Orlesia Gay Gooseberry | Counselor | 1501 Albert St, North Unit Upper, Racine, WI 53404-2713 | 2012-08-16 |
| 1720363849 | Carla Yvette Ward | Counselor | 5735 Durand Ave Suite A, Racine, WI 53406 | 2011-10-20 |
| 1871804963 | Sharon Johnson-visor | Counselor | 6939 Mariner Dr Ste C, Racine, WI 53406-4090 | 2010-06-23 |
| 1770753766 | Sara L De Grave | Counselor | 521 Sixth St, Racine, WI 53403-1117 | 2008-03-05 |
| Find all providers in RACINE | ||||
Please comment or provide details below to improve the information on MR. JAMES A WAGNER.
| 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.