MARK E WAGNER


Address: 900 W Norfolk Ave, Norfolk, NE 68701-5006
Phone: 4023703140

MARK E WAGNER (NPI# 1134488752) 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) 1134488752
Entity Type Individual
Full Name MARK E WAGNER
Credential PLADC
Practice Address 900 W Norfolk Ave
Norfolk
NE 68701-5006
Practice Telephone 4023703140
Practice Fax Number 4023703373
Mailing Telephone 4023703140
Mailing Fax Number 4023703373
Enumeration Date 2012-05-16
Last Update Date 2014-07-14
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
P-1144 NE Behavioral Health & Social Service Providers

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Office Location

Street Address 900 W NORFOLK AVE
City NORFOLK
State NE
Zip Code 68701-5006

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104805241 Edward A Wicker Family Medicine 900 W Norfolk Ave, Suite 100, Norfolk, NE 68701-5056 2006-01-16
1639658479 Kelsey Peterson Physician Assistant 900 W Norfolk Ave, Norfolk, NE 68701-5006 2018-08-13
1053801290 Darian Leigh Vickrey Case Manager/Care Coordinator 900 W Norfolk Ave, Norfolk, NE 68701-5006 2018-05-14
1528555497 Kain Leslie Sparr Case Manager/Care Coordinator 900 W Norfolk Ave, Norfolk, NE 68701-5006 2018-04-17
1265961031 Cherie Brandt Case Manager/Care Coordinator 900 W Norfolk Ave, Norfolk, NE 68701-5006 2017-06-06
1477091601 Angela Thomas Case Manager/Care Coordinator 900 W Norfolk Ave, Suite 200, Norfolk, NE 68701-5006 2017-02-08
1952847998 Marcus Ferguson Case Manager/Care Coordinator 900 W Norfolk Ave, Norfolk, NE 68701-5006 2017-01-15
1790220234 Brittany Dugger Case Manager/Care Coordinator 900 W Norfolk Ave, Suite 200, Norfolk, NE 68701-5006 2016-12-19
1255875662 Colette Mcquivey Case Manager/Care Coordinator 900 W Norfolk Ave, Suite 200, Norfolk, NE 68701-5006 2016-12-05
1215488861 Teresa Lee Case Manager/Care Coordinator 900 W Norfolk Ave, 200, Norfolk, NE 68701-5006 2016-10-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700408465 Women's Empowering Life Line, Inc. Substance Abuse Rehabilitation Facility 200 South 13th St, Norfolk, NE 68701 2020-05-15
1093297103 Nicole Marie Owens Physician Assistant 2701 W. Norfolk Ave, Norfolk, NE 68701 2018-09-05
1326535410 Healing Hands of Nebraska, PC Otolaryngology Sunset Plaza, 1700 Market Lane, Suite 410, Norfolk, NE 68701 2018-04-16
1356864995 Nmg LLC Family Medicine 301 North 27th Street Suite 1, Norfolk, NE 68701 2017-07-25
1609396423 Alison Erin Pfeifer Physical Therapy Assistant 1220 W Benjamin Ave #4, Norfolk, NE 68701 2017-06-22
1568996148 Xanat Naranjo Registered Nurse 105 E. Norfolk Ave, Norfolk, NE 68701 2017-04-20
1194259945 Angela Cornett Licensed Practical Nurse 105 E. Norfolk, Norfolk, NE 68701 2017-04-19
1669906400 Melodie Ann Nielsen Registered Nurse 105 East Norfolk Ave, Norfolk, NE 68701 2017-04-19
1528519543 Women's Empowering Life Line Substance Abuse Rehabilitation Facility 910 West Park Avenue, Norfolk, NE 68701 2016-10-14
1174983100 Brooke Cemper Nurse Practitioner 2701 West Norfolk Ave, Norfolk, NE 68701 2016-03-03
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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
1154885366 Transforming Hearts, LLC Counselor 900 Granby St Ste 242, Norfolk, VA 23510-2503 2019-01-22
1407331135 Demeitrius M Whitehurst Counselor 12388 Warwick Blvd Ste 302, Newport News, Va 23602, Ste 302, Norfolk, VA 23606-2360 2018-09-27
1114449162 Second Start, LLC Counselor 1432 Baychester Ave Apt A4, Norfolk, VA 23503-2320 2017-07-12
1760807754 Sara Heller Counselor 39 Grant St, Norfolk, CT 06058-1327 2014-02-27
1942634977 Elizabeth Nicole Snow Counselor 6325 N Center Dr Ste 202, Norfolk, VA 23502-0019 2013-08-27
1255689527 Andrea Danette Sutton Counselor 402 E Little Creek Rd, Norfolk, VA 23505-2714 2012-08-16
1609137108 Kelly M Higgins Counselor 9515 Dulwich Cres, Norfolk, VA 23503-2850 2012-06-01
1386951499 Stacy Richardson Counselor 521 Park Cres, Norfolk, VA 23511-4009 2010-09-10
1639342884 Donald E Edwards Counselor 1001 W Norfolk Ave, Norfolk, NE 68701-5057 2008-04-09
1073707410 Janice Gray Counselor 110 Kingsley Ln Ste 206, Norfolk, VA 23505-4616 2007-08-29
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Competitor

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City NORFOLK
Zip Code 68701

Improve Information

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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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