Andrew R Bagley, MSW, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8506-123 Issued in WI

Practice address

933 N Mayfair Rd
Wauwatosa, WI 53226-3432

Phone

(414) 737-2300

NPI assigned

Aug 16, 2013

Last updated

Oct 9, 2026By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Sebastian Family Psycholgy Practice

  • Professional Counselor
  • Glendale, WI
  • NPI 1124441373
  NPD (past)
• Sebastian Family Psycholgy Practice

  • Mental Health Counselor
  • Glendale, WI
  • NPI 1316360092
  NPD (past)

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1104259860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MEADOW BREEZE LN",
            "city": "GRAFTON",
            "state": "WI",
            "postal_code": "530242513",
            "telephone_number": "414-737-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 N MAYFAIR RD",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263432",
            "telephone_number": "414-737-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGLEY",
        "first_name": "ANDREW",
        "middle_name": "R",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-16",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "8506-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100031658",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autism Society of Southeastern Wisconsin
• Samantha Azmani
• Matthew James Babcock, DDS
• Funlola Oladepe Bada, MD
• Badger Vision Center, LLC
• Meghan P Bahr, LCSW
• Barbara A. Bahrke, PA-C
• Joel D. Baisden, OD
• Joshua Mark Baker, PA
• Mari Agnes Baker, HIS

• Mental Health Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; 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.