Active NPI
Mary Catherine Wagner, MS, CAGS, LMHC
- Mental Health Counselor
- Wakefield, MA
National Provider Identifier
1003129529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4956
- Practice address
- 27 Water St
#107B
Wakefield, MA 01880-3032 - Phone
- (978) 827-1247
- NPI assigned
- Jul 26, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4956 | MA | Primary |
| School Psychologist | 103TS0200X | 369291 | MA |
Addresses
Primary practice location
27 Water St
#107B
Wakefield, MA 01880-3032
Mailing address
PO Box 796
Ashburnham, MA 01430-0796
Phone (978) 827-1247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4956 | MA | MD | Psychologist |
| 369291 | MA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280102400000",
"number": "1003129529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 796",
"city": "ASHBURNHAM",
"state": "MA",
"postal_code": "014300796",
"telephone_number": "978-827-1247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27 WATER ST",
"address_2": "#107B",
"city": "WAKEFIELD",
"state": "MA",
"postal_code": "018803032",
"telephone_number": "978-827-1247"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "MARY CATHERINE",
"name_prefix": "Ms.",
"credential": "MS, CAGS, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-26",
"last_updated": "2010-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "4956",
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "MA",
"license": "369291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wakefield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.