Jayme Gene Wagner

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

529 M. L. King, Jr. Ave
Flint, MI 48502

Phone

(810) 238-7226

NPI assigned

Oct 7, 2015

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1444176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444176000000",
    "number": "1093185712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 GARLAND ST APT B",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485031305",
            "telephone_number": "810-238-7226",
            "fax_number": "810-239-5518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 M. L. KING, JR. AVE",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "48502",
            "telephone_number": "810-238-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JAYME",
        "middle_name": "GENE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-07",
        "last_updated": "2015-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celia Rae Wagenberg
• Patricia Wagenhofer
• Zachery Wagester, BS, CMHP, QMHP, QIDP
• Britt Elisia Wagner, L.L.P.
• James W. Wagner, M.D.
• Lisa Louise Wagner, MA, CCC-A
• Megan Wagner
• Shekinah Wagner
• Mallory Jean Waisanen, CCC-SLP
• Jamila Kesi Waits, BS,CAC-1

• Addiction (Substance Use Disorder) Counselor in Flint, MI
• Providers in Flint, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.