LISA M WAGNER (NPI# 1821379520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821379520 |
| Entity Type | Individual |
| Full Name | LISA M WAGNER |
| Credential | MA, MFT, PPS |
| Practice Address |
2730 Salvio St Concord CA 94519-2599 |
| Practice Telephone | 9252856848 |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
63977 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346754249 | Lisa Marie Wagner | Nurse Practitioner | 411 E Main St Ste 207b, Aspen, CO 81611-2953 | 2017-11-30 |
| 1679817225 | Lisa A Wagner | Speech-Language Pathologist | 2923 Downing St, Jacksonville, FL 32205-7518 | 2012-11-20 |
| 1295000743 | Lisa Marie Wagner | Licensed Practical Nurse | 70 Howard Ave, Eastchester, NY 10709-2717 | 2012-03-16 |
| 1952534521 | Lisa Marie Wagner | Occupational Therapist | 2830 Carol Rd, York, PA 17402-3852 | 2009-08-31 |
| 1780824375 | Lisa C Wagner | Speech-Language Pathologist | 59 Kinnebrook Rd, Harris, NY 12742 | 2009-02-23 |
| 1578731725 | Lisa Louise Wagner | Audiologist | 5040 Villa Linde Pkwy Ste A, Flint, MI 48532-3445 | 2008-02-11 |
| 1083824593 | Lisa Wagner | Nurse Practitioner | 1250 Broadway, 17th Floor, Visiting Nurse Service of New York, New York, NY 10001 | 2007-05-23 |
| 1982776712 | Lisa Ann Wagner | Dentist | 1130 Sanctuary Pkwy, Alpharetta, GA 30009-4839 | 2006-11-15 |
| 1063418432 | Lisa M. Wagner | Home Health Aide | 328 Antrim Rd, Xenia, OH 45385-2420 | 2005-06-21 |
| 1447654413 | Lisa Wagner | Occupational Therapist | 1400 Griffin Mill Rd, Easley, SC 29640-6929 | 2014-10-20 |
| Street Address |
2730 SALVIO ST |
| City | CONCORD |
| State | CA |
| Zip Code | 94519-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194887133 | Kate Baid Montgomery | Counselor | 2730 Salvio St, Concord, CA 94519-2599 | 2006-12-15 |
| 1831670496 | Erin Burdex | Social Worker | 2730 Salvio St, Concord, CA 94519-2599 | 2018-08-22 |
| 1346745387 | Mt. Diablo Unified School District | Local Education Agency (LEA) | 2730 Salvio St, Concord, CA 94519 | 2018-03-29 |
| 1356884803 | Virginia Louise Roberts | Social Worker | 2730 Salvio St, Concord, CA 94519-2599 | 2016-11-30 |
| 1902276322 | Sarah Cybulski | Marriage & Family Therapist | 2730 Salvio St, Concord, CA 94519-2599 | 2015-09-28 |
| 1699184838 | Marissa Engleman | Counselor | 2730 Salvio St, Concord, CA 94519 | 2014-08-12 |
| 1689097602 | Jo Duke | Marriage & Family Therapist | 2730 Salvio St, Concord, CA 94519-2599 | 2014-01-27 |
| 1093140329 | Philip Alexander Kovacik | Social Worker | 2730 Salvio St, Concord, CA 94519-2599 | 2013-09-05 |
| 1073854394 | Suzanne Janette Merz-reno | Social Worker | 2730 Salvio St, Concord, CA 94519-2599 | 2013-03-12 |
| 1740599729 | Sara Marie Cabezas-prendergast | Psychologist | 2730 Salvio St, Concord, CA 94519-2599 | 2010-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023581949 | Kristian Dee Arthur Williams | Behavior Technician | 1335 North Dutton Rd, Concord, CA 94519 | 2019-01-03 |
| 1518475045 | Tlc Homes LLC | Intermediate Care Facility, Mentally Retarded | 3515 Farm Bureau Court, Concord, CA 94519 | 2018-01-18 |
| 1114474392 | Yasaman Sani Dds Inc. | Dentist | 4125 Concord Blvd., Suite A, Concord, CA 94519 | 2016-09-06 |
| 1548637184 | Nicole Marie Ortega | Dental Hygienist | 3185 Claudia Drive, Concord, CA 94519 | 2015-08-31 |
| 1609242346 | Melanie M Gaglioti | Dentist | 2955 Salvio St., Concord, CA 94519 | 2015-08-17 |
| 1013332287 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 3711 Lindero Dr, Concord, CA 94519 | 2014-02-25 |
| 1144548017 | Joanna Christine Costello | Social Worker | 1861 Silverwood Dr., Concord, CA 94519 | 2010-05-17 |
| 1497913255 | Dennis Barry Bealick | Psychiatry & Neurology | 1957 Parkside Dr #300, Concord, CA 94519 | 2008-05-29 |
| 1912171968 | Brian Richard Sheaff | Dentist | 1945 Parkside Drive, Concord, CA 94519 | 2008-04-21 |
| 1073706156 | Fruida D Tchekra | Counselor | 3024 Willow Pass Road, Concord, CA 94519 | 2007-08-22 |
| Find all providers in zip 94519 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245844273 | Michael Frost Lynch | Counselor | 23 Crest St, Concord, MA 01742-3006 | 2020-09-08 |
| 1487263281 | Tara Burgess | Counselor | 357 Nashawtuc Rd, Concord, MA 01742-1616 | 2020-07-28 |
| 1245861533 | Christine Marie Perez | Counselor | 1333 Willow Pass Rd Ste 2100, Concord, CA 94520-7930 | 2020-01-27 |
| 1649814104 | Live Your Life Clt Counseling Pllc | Counselor | 185 Church St Ne, Concord, NC 28025-4761 | 2019-10-28 |
| 1194368902 | Dara Michelle Brenner | Counselor | 66 Commonwealth Ave, Concord, MA 01742-2974 | 2019-10-24 |
| 1316593379 | Courtney J Cupelo | Counselor | 90 Airport Rd Unit 22, Concord, NH 03301-5356 | 2019-08-15 |
| 1689131104 | Baljeet Kaur Heyer | Counselor | 1486 Fox Hollow Ct, Concord, CA 94521-2521 | 2019-02-21 |
| 1679037774 | Jill C Resch | Counselor | 284 Executive Park Dr Ste 160, Concord, NC 28025-1836 | 2019-01-23 |
| 1114491412 | Eileen Ann English | Counselor | 2 Concord Greene Unit 2, Concord, MA 01742-3186 | 2019-01-20 |
| 1598239352 | Stuart Scott | Counselor | 259 S Main St, Concord, NH 03301-3405 | 2019-01-15 |
| Find all providers in CONCORD | ||||
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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.