MR. JASON LEIGH WAGNER


Address: 505 5th St., Suite 520, Sioux City, IA 51101
Phone: 7122592681

MR. JASON LEIGH WAGNER (NPI# 1821427287) 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) 1821427287
Entity Type Individual
Full Name MR. JASON LEIGH WAGNER
Credential L.M.H.C.
Practice Address 505 5th St.
Suite 520
Sioux City
IA 51101
Practice Telephone 7122592681
Mailing Telephone 7122592681
Enumeration Date 2013-11-06
Last Update Date 2013-11-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
001550 IA Behavioral Health & Social Service Providers

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Office Location

Street Address 505 5TH ST.
SUITE 520
City SIOUX CITY
State IA
Zip Code 51101

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215434691 Dorcas Wambui Kamau Nurse Practitioner Jackson Recovery Centers, Inc., 800 5th Street, Sioux City, IA 51101 2018-04-11
1346763554 Mercy Health Services - Iowa Corp Skilled Nursing Facility 801 5th St Fl 7, Sioux City, IA 51101 2017-07-19
1124354352 Carol Madsen Watchorn Social Worker Nseling Practice, 915 Pierce St, Sioux City, IA 51101 2009-10-22
1710024542 Woodbury County, Iowa Case Management 620 Douglas, Rm B5, Sioux City, IA 51101 2007-01-31
1891863668 Vivian Lea Miller Counselor 705 Douglas St, Suite 350, Sioux City, IA 51101 2006-12-01
1043265176 Sharon K Fey Internal Medicine 700 4th Street, Ste 410, Sioux City, IA 51101 2006-05-24
1861965089 Alexis Mae Semmler Nurse Practitioner 801 5th St, Sioux City, IA 51101 2019-01-10
1326524844 Michaela Kristine Anderson Nurse Practitioner 801 5th St, Sioux City, IA 51101 2018-07-17
1073009486 Carly Alyssa Turner Social Worker 625 Court St, Sioux City, IA 51101 2018-07-09
1114419009 Ryan Rudloff Optometrist 431 Pierce St, Sioux City, IA 51101 2018-06-05
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982159125 Tina Wickersham Counselor 4323 Vine Ave, Sioux City, IA 51106-1958 2016-08-17
1063865954 Anna Tronson Counselor 4038 Division St, Sioux City, IA 51104-1581 2016-07-15
1144613795 Melissa Jenkins Counselor 520 Nebraska St, Suite 408, Sioux City, IA 51101-1307 2015-03-06
1104214154 Aaron Baker Counselor 1551 Indian Hills Dr Ste 221, Sioux City, IA 51104-1857 2014-12-29
1851535256 Angela D. Gronborg-harder Counselor 3549 Southern Hills Dr., Sioux City, IA 51106-4736 2009-04-29
1891863668 Vivian Lea Miller Counselor 705 Douglas St, Suite 350, Sioux City, IA 51101 2006-12-01
1730143546 Dorothy Westin-yockey Counselor 4301 Sergeant Rd, Suite 203, Sioux City, IA 51106-4726 2006-04-17
1871190389 Kelly Jean Knaack Counselor 1115 5th St, Sioux City, IA 51101-1905 2020-10-07
1295346815 Rebecca Ann Simoni-ryan Counselor 1115 5th St, Sioux City, IA 51101-1905 2020-08-17
1588284855 Lucas Steven Mann Counselor 4038 Division St, Sioux City, IA 51104-1581 2020-04-16
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Competitor

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City SIOUX CITY
Zip Code 51101

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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