Jason Robert Wagner, CMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7717626-6009 Issued in UT

Practice address

9844 S 1300 E Ste 250
Sandy, UT 84094-4691

Phone

(801) 243-2928

Fax

(801) 609-3649

NPI assigned

Jan 19, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in UT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Moving Forward CounselingGroup PAC ID 8628414786, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moving Forward Counseling

  • Adult Mental Health Clinic/Center
  • Sandy, UT
  • NPI 1811526122
  Medicare reassignment Care Compare group NPD Authorized official
• Moving Forward Treatment

  • Adult Mental Health Clinic/Center
  • Sandy, UT
  • NPI 1033947619
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1053700765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 250",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944691",
            "telephone_number": "801-243-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9844 S 1300 E STE 250",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840944691",
            "telephone_number": "801-243-2928",
            "fax_number": "801-609-3649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "credential": "CMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-01-19",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "7717626-6009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Voorhes, L.C.S.W.
• Kimberlee Cristina Voss, MS OTR/L
• Kirk Voss, L.M.F.T.
• Christina Alexandra Vrontikis
• Jeffrey Wade
• Lincoln Edward Wagner, MA, BCBA, LBA
• Emma Grace Wagstaff, RD
• Brent Eschler Wainwright, LICENSED PROFESSIONA
• Nicole Wakefield, M.A., BCBA, LBA
• Wal-Mart Stores, Inc. Dba Wal-Mart

• Mental Health Counselor in Sandy, UT
• Providers in Sandy, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.