NATHAN WAGNER


Address: 9720 Capital Ct, Suite 303, Manassas, VA 20110-2044
Phone: 5719214812

NATHAN WAGNER (NPI# 1497100200) 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) 1497100200
Entity Type Individual
Full Name NATHAN WAGNER
Credential LPC, CSAC
Practice Address 9720 Capital Ct
Suite 303
Manassas
VA 20110-2044
Mailing Address 11835 Hazel Circle Dr
Bristow
VA 20136-2180
Practice Telephone 5719214812
Mailing Telephone 5719214812
Enumeration Date 2016-04-29
Last Update Date 2016-04-29
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
070102980 VA Behavioral Health & Social Service Providers
Y 101YP2500X Counselor
Specialization: Professional
0701006557 VA Behavioral Health & Social Service Providers

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Office Location

Street Address 9720 CAPITAL CT
SUITE 303
City MANASSAS
State VA
Zip Code 20110-2044

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104121003 Brooke Utley Counselor 9720 Capital Ct, 303, Manassas, VA 20110-2044 2011-01-24
1396304754 Angela Reed Marriage & Family Therapist 9720 Capital Ct, Manassas, VA 20110-2044 2019-06-10
1568976785 Empowerment Therapy Center, Etc Counselor 9720 Capital Ct, 303, Manassas, VA 20110-2044 2017-11-27
1326576364 Fall Springs Home and Health Care Services LLC Home Health 9720 Capital Ct, Manassas, VA 20110-2044 2017-06-02
1972960169 Jessica Jacobs Social Worker 9720 Capital Ct, Suite 301, Office 3, Manassas, VA 20110-2044 2016-01-20
1962891788 Delionel Meadows Sr. Home Health 9720 Capital Ct, Suite 301, Manassas, VA 20110-2044 2015-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1184246787 Sini Eapen Nurse Practitioner 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 2020-05-18
1023662202 United Health Home Care Agency Registered Nurse 8789 Commerce Ct#202, Manassas, VA 20110 2019-07-26
1750868097 Elaine K. Sours, D.d.s., P.C. Dentist 8719 Plantation Lane, Manassas, VA 20110 2018-07-19
1962904573 Donielle Francis Specialist/Technologist 10420 Monterosa Pl, Manassas, VA 20110 2018-02-28
1003332354 Katrina Kask Occupational Therapist 6985 Centreville Rd., Manassas, VA 20110 2017-08-18
1477091478 Mega Health Services, Inc General Practice 9602 Champion Ct, Manassas, VA 20110 2017-02-09
1811340599 Malik Usman Dds, PC Dentist 8559 Sudley Road, Manassas, VA 20110 2016-07-19
1871944660 Chitra Subbaraj Physical Therapist 8595 Centreville Rd, Manassas, VA 20110 2016-06-23
1093186512 Daczkowski Orthodontics Dentist 8715 Stonewall Road, Manassas, VA 20110 2015-10-09
1851770366 Candace Fleming Counselor 9242b Mosby St, Manassas, VA 20110 2015-05-29
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861038705 Dwight Postell Vick Counselor 9401 Centreville Rd Ste 201, Manassas, VA 20110-5155 2019-11-26
1033769922 Talako Industries Counselor 8711 Plantation Ln Ste 301, Manassas, VA 20110-8322 2019-09-12
1518528884 Sarah Jane Clarius Counselor Prince William County Community Services Board, 7969 Ashton Ave, Manassas, VA 20109-2885 2019-06-26
1861995060 Mylisa L Ickes Counselor 7982 Donegan Drive, Manassas, VA 20109 2018-03-14
1104339803 June L. Toth, Inc. Counselor 9720 Capital Court, Suite 303, Manassas, VA 20110-2051 2017-11-16
1376074476 Counseling 1-2-1 LLC Counselor 9200 Church St, 202, Manassas, VA 20110-5597 2017-03-21
1639619174 Andrew Harar Counselor 9203 Acer Ln, Manassas, VA 20110-8916 2017-03-02
1386182236 Katherine Michele Perez Counselor 9720 Capital Ct Ste 302, Manassas, VA 20110-2051 2017-02-10
1851845705 Carrie E Collier Counselor 8361 Mineral Springs Dr, Manassas, VA 20112-2420 2016-08-09
1306296660 Sandra-joy Gray Counselor 7331 Sheraton Dr, Manassas, VA 20112-3678 2016-06-17
Find all providers in MANASSAS

Competitor

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City MANASSAS
Zip Code 20110

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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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