ALLISON JADE WAGNER (NPI# 1609418631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609418631 |
| Entity Type | Individual |
| Full Name | ALLISON JADE WAGNER |
| Credential | LGPC |
| Practice Address |
124 N Court St Frederick MD 21701-6614 |
| Mailing Address |
222 S Raleigh St Martinsburg WV 25401-2637 |
| Practice Telephone | 3013047108 |
| Mailing Telephone | 3046715109 |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2019-10-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LGP9945 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588019855 | Allison Wagner | Specialist/Technologist | 501 Vairo Blvd, Apt 1411c, State College, PA 16803-2653 | 2016-04-25 |
| 1114543915 | Allison Marion Wagner | Psychologist | 66 North Rd, Deerfield, NH 03037-1306 | 2020-06-18 |
| 1699304311 | Allison Wagner | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2020-04-04 |
| 1083264758 | Allison Nicole Wagner | Physical Therapist | 774 Fairmount Ave, Jamestown, NY 14701-2609 | 2019-09-16 |
| 1225475866 | Allison Nicole Wagner | Anesthesiology | 200 Hawkins Dr, Dept of Anesthesiology, Iowa City, IA 52242-1009 | 2013-05-22 |
| 1609133420 | Allison Leigh Wagner | Occupational Therapy Assistant | 118 Medical Dr, Carmel, IN 46032-2923 | 2012-04-18 |
| Street Address |
124 N COURT ST |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-6614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386860658 | Life Directions | Counselor | 124 N Court St, Second Floor, Frederick, MD 21701-5416 | 2007-04-17 |
| 1225647845 | Elizabeth J Forbes | Counselor | 124 N Court St, Frederick, MD 21701-6614 | 2020-07-29 |
| 1780202697 | Amanda Garner | Social Worker | 124 N Court St, Frederick, MD 21701-6614 | 2020-07-07 |
| 1699309047 | Lisa K. Smith | Counselor | 124 N Court St, Frederick, MD 21701-6614 | 2020-02-25 |
| 1063044931 | Claudia Lorena Hernandez | Counselor | 124 N Court St, Frederick, MD 21701-6614 | 2020-02-10 |
| 1245862432 | Kms Counseling LLC | Counselor | 124 N Court St, Frederick, MD 21701-6614 | 2020-02-06 |
| 1871149658 | Marlee Jane Bardenett | Counselor | 124 N Court St, Frederick, MD 21701-6614 | 2019-08-16 |
| 1578123717 | Heather Marie Smith | Counselor | 124 N Court St, Frederick, MD 21701-6614 | 2019-06-19 |
| 1720545437 | Krista Bajgier | Social Worker | 124 N Court St, Frederick, MD 21701-6614 | 2019-02-28 |
| 1144786401 | Hope Rubin | Counselor | 124 N Court St, Frederick, MD 21701-6614 | 2019-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169548 | Bradley Shearer | Counselor | 6087 Flagstone Ct, Frederick, MD 21701-5847 | 2020-09-23 |
| 1144853847 | Caroline Carey | Counselor | 6540 Newton Dr, Frederick, MD 21703-2747 | 2020-02-20 |
| 1093377525 | James Robert Rose | Counselor | 31 W Patrick St Apt 401, Frederick, MD 21701-5563 | 2019-07-04 |
| 1679059562 | David Sherwin | Counselor | 205 Broadway St Fl 2, Frederick, MD 21701-6501 | 2018-07-14 |
| 1689198558 | Marion Elizabeth Toscano | Counselor | 226 South Jefferson Street, Frederick, MD 31701 | 2017-08-01 |
| 1851828826 | Christina L Poff-long | Counselor | 1003 W 7th St Ste 200, Frederick, MD 21701-4106 | 2017-05-21 |
| 1215461397 | Carter Caring Counseling | Counselor | 721 Holden Rd, Frederick, MD 21701-3406 | 2017-04-17 |
| 1184165904 | Frederick Center for Marriage and Family Therapy, LLC | Counselor | 129 E Patrick St # 25, Frederick, MD 21701-6172 | 2017-03-13 |
| 1073052593 | Nicole Lynn Simpson | Counselor | 5479 Shoshone Dr, Frederick, CO 80504-5815 | 2017-02-16 |
| 1578016473 | Jennifer Tibbs | Counselor | 6721 Sandpiper Ct, Frederick, MD 21703-7178 | 2016-07-27 |
| 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.