MR. ROBERT WAGNER


Address: 3837 N.w. 23rd Street, Oklahoma City, OK 73112
Phone: 4059428115

MR. ROBERT WAGNER (NPI# 1467673111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467673111
Entity Type Individual
Full Name MR. ROBERT WAGNER
Credential M.ED. NBCC LPC LADC
Practice Address 3837 N.w. 23rd Street
Oklahoma City
OK 73112
Practice Telephone 4059428115
Practice Fax Number 4059421028
Mailing Telephone 4059428115
Mailing Fax Number 4059421028
Enumeration Date 2007-05-01
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
412 OK Behavioral Health & Social Service Providers
X 101YP2500X Counselor
Specialization: Professional
476 OK Behavioral Health & Social Service Providers

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Office Location

Street Address 3837 N.W. 23RD STREET
City OKLAHOMA CITY
State OK
Zip Code 73112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972145886 Crystopher J Long Physical Therapist Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 2019-10-11
1700448974 Joy Healthcare Services of Okc LLC Home Health 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 2019-07-08
1801380159 Crysten Cheatwood Do, PC Obstetrics & Gynecology 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 2018-06-20
1306352521 Victoria Ann Kappel Thoracic Surgery (Cardiothoracic Vascular Surgery) 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 2017-12-26
1871014886 Tanesia Michelle Smith Case Management 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 2017-06-29
1619414257 Edwige Gwanyama Student in an Organized Health Care Education/Training Program 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 2017-01-20
1619424017 Jennifer Beaver Peer Specialist 2808 Nw 31st, Oklahoma City, OK 73112 2016-09-02
1417305368 Gabriel Plank Counselor 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 2016-06-01
1912364365 Sams East Inc Durable Medical Equipment & Medical Supplies 4101 N May Ave, Oklahoma City, OK 73112 2016-01-15
1679938922 Portland Anesthesia Associates LLC Nurse Anesthetist, Certified Registered 5501 N Porland Ave, Oklahoma City, OK 73112 2015-12-30
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144839994 Jill Brittny Johnson Counselor 2840 Nw 31st St, Oklahoma City, OK 73112-7407 2020-07-28
1760021984 Damilola Mosebolatan Akintola Counselor 5013 Oak Manor Dr, Oklahoma City, OK 73135-2235 2020-01-06
1376185934 Kevin Pierson Counselor 8536 N Lindsay Ave, Oklahoma City, OK 73114-0801 2019-10-15
1922651249 Timothy Aaron Vick Counselor 5101 Nw 26th St, Oklahoma City, OK 73127-1723 2019-07-17
1093378218 Crentha S Turner Counselor 11227 Nile Ave, Oklahoma City, OK 73114-7071 2019-04-15
1720564933 Dawn Lea Long Counseling LLC Counselor 5350 S Western Ave Ste 211, Oklahoma City, OK 73109-4525 2018-07-11
1902395494 Tisha Lee Rodriguez Counselor 4001 N Classen Blvd Ste 105, Oklahoma City, OK 73118-2668 2018-05-09
1306349378 Charlene Hester Counselor 1000 Sw 44th St Ste 200, Oklahoma City, OK 73109-3629 2018-03-15
1114425121 Jacob Ian Arnold Counselor 521 N Council Rd Apt G, Oklahoma City, OK 73127-4971 2018-01-24
1225546534 Christopher Dewayne Grant Counselor 807 Ne 21st St, Oklahoma City, OK 73105-8213 2018-01-21
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Competitor

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City OKLAHOMA CITY
Zip Code 73112

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Dataset Information

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.

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