MS. TIFFANY WYNN WAGNER (NPI# 1255457479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255457479 |
| Entity Type | Individual |
| Full Name | MS. TIFFANY WYNN WAGNER |
| Credential | LMFT |
| Practice Address |
602 E Academy St 205 Fuquay Varina NC 27526-2302 |
| Mailing Address |
644 Aiken Pkwy Fuquay Varina NC 27526-2064 |
| Practice Telephone | 9194127321 |
| Mailing Telephone | 9194127321 |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 820 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902294325 | Tiffany Wagner | Social Worker | 640 Walnut St, Suite 303, Reading, PA 19601 | 2015-01-07 |
| 1962829010 | Tiffany Wagner | Specialist | 2717 E Main, Puyallup, WA 98372-3165 | 2014-03-26 |
| Street Address |
602 E ACADEMY ST 205 |
| City | FUQUAY VARINA |
| State | NC |
| Zip Code | 27526-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013020692 | Jennifer Hyra Matthieu | Social Worker | 602 E Academy St, Suite 205, Fuquay Varina, NC 27526-2302 | 2006-08-16 |
| 1437503331 | Carrie Mitchell Counseling, Pllc | Social Worker | 602 E Academy St, Suite 201, Fuquay Varina, NC 27526-2382 | 2016-04-17 |
| 1356728679 | Alisa L. Casciano, Lpc, Pllc | Community/Behavioral Health | 602 E Academy St, Suite 205, Fuquay Varina, NC 27526-2382 | 2015-05-06 |
| 1831506294 | Michael Dunaway | Counselor | 602 E Academy St, Suite 105, Fuquay Varina, NC 27526-2382 | 2014-07-17 |
| 1265738678 | Rob Reinhardt, Lpc, Pa | Counselor | 602 E Academy St, Suite 103, Fuquay Varina, NC 27526-2382 | 2011-02-02 |
| 1275782831 | Fuquay Family Counseling, Pllc | Marriage & Family Therapist | 602 E Academy St, Suite 205, Fuquay Varina, NC 27526-2382 | 2008-09-18 |
| 1164678868 | Robin Woods | Social Worker | 602 E Academy St, Suite 203, Fuquay Varina, NC 27526-2382 | 2008-08-13 |
| 1598933749 | Christy Dawn Hawley | Counselor | 602 E Academy St, Suite 103, Fuquay Varina, NC 27526-2382 | 2008-02-11 |
| 1194909408 | Robert Anthony Reinhardt | Counselor | 602 E Academy St, Suite 105, Fuquay Varina, NC 27526-2382 | 2007-12-21 |
| 1306027602 | Catherine Ann Estes | Social Worker | 602 E Academy St, Suite 205, Fuquay Varina, NC 27526-2382 | 2007-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336782721 | Leah C. Mcconkey | Speech-Language Pathologist | 305 Willow Grace Lane, Fuquay Varina, NC 27526 | 2019-10-18 |
| 1437617727 | Katherine Venable | Physician Assistant | 1418 N Main Street, Fuquay - Vanna, NC 27526 | 2019-03-06 |
| 1114403599 | Christine Newkirk | Social Worker | 344 Edgecroft Way, Fuquay Varina, NC 27526 | 2018-07-18 |
| 1851800536 | Pamela Trapp Johnson | Specialist | 196 Knight Estates Cir, Fuquay Varina, NC 27526 | 2017-09-25 |
| 1376908228 | Carrie Adeline Mitchell | Social Worker | 441 Leyland Cypress Ln, Fuquay Varina, NC 27526 | 2015-12-19 |
| 1235504267 | Keyana Sharlene Williams | Counselor | 602 E Academy St #205, Fuquay Varina, NC 27526 | 2015-12-02 |
| 1124452974 | Q1consultants, LLC | Community/Behavioral Health | 326 Daywood Creek Place, Fuquay, NC 27526 | 2013-08-29 |
| 1053759654 | Ellen Marie Macri | Developmental Therapist | 119 South Fuquay Avenue, Fuquay-varina, NC 27526 | 2013-06-05 |
| 1811239726 | Leslie H Yuan Gazdeck | Dentist | 1625 N Main St Ste 201, Fuquay Varina, NC 27526 | 2013-03-19 |
| 1093017725 | Joanne Scannell | Occupational Therapist | 119 South Fuquay Ave, Fuquay Varina, NC 27526 | 2010-12-01 |
| Find all providers in zip 27526 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467847038 | Edward Joseph Hanks IIi | Marriage & Family Therapist | 715 Silk Tree Trce, Fuquay Varina, NC 27526-5094 | 2015-04-01 |
| 1093934952 | James P Marshall | Marriage & Family Therapist | 1411 New Moon Ct, Fuquay Varina, NC 27526-5385 | 2007-04-25 |
| 1376913160 | Steven Cline | Marriage & Family Therapist | 206 Raleigh St, Fuquay Varina, NC 27526-2263 | 2015-10-06 |
| 1336530484 | Rachel Hough | Marriage & Family Therapist | 206 Raleigh St, Fuquay Varina, NC 27526-2263 | 2015-02-11 |
| 1104109123 | Jamie Katherine Criswell | Marriage & Family Therapist | 206 Raleigh St, Fuquay Varina, NC 27526-2263 | 2011-09-26 |
| 1275782831 | Fuquay Family Counseling, Pllc | Marriage & Family Therapist | 602 E Academy St, Suite 205, Fuquay Varina, NC 27526-2382 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1942809926 | Anna K Wallace | Marriage & Family Therapist | 2235 Locksley Woods Dr Apt E, Greenville, NC 27858-5461 | 2020-10-21 |
| 1053918961 | Tiana C Lanier-cherry | Marriage & Family Therapist | 628 Preston Grove Ave, Cary, NC 27513-8464 | 2020-10-04 |
| 1043826589 | Lauren Stiegler | Marriage & Family Therapist | 931 Haybeck Ln, Apex, NC 27523-6192 | 2020-09-21 |
| 1588279889 | Deborah Bell | Marriage & Family Therapist | 119 Sw Maynard Rd, Cary, NC 27511-4472 | 2020-09-14 |
| 1447865217 | Rebecca Levy | Marriage & Family Therapist | Cone Health Family Medicine 1125 N Church Street, Greensboro, NC 27401 | 2020-09-09 |
| 1467066753 | Geo'quana W Mcdougal | Marriage & Family Therapist | 1140 Kildaire Farm Rd Ste 304, Cary, NC 27511-7600 | 2020-09-03 |
| 1689286338 | Dina Rose Velazquez | Marriage & Family Therapist | 500 Lemon Pepper Pl, Wendell, NC 27591-8948 | 2020-08-23 |
| 1023631959 | Carolyn Neese | Marriage & Family Therapist | 4102 N Main St, High Point, NC 27265-1132 | 2020-05-27 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| Find all providers with the same taxonomy | ||||
| City | FUQUAY VARINA |
| Zip Code | 27526 |
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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.