Active NPI
Jane Ellen Wagner-Garner, M.A.
- Professional Counselor
- Farmington, MO
National Provider Identifier
1144408949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 002053
- Practice address
- 118 W Pine St
Farmington, MO 63640-1403 - Phone
- (573) 701-5902
- NPI assigned
- Feb 4, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 002053 | MO | Primary |
Addresses
Primary practice location
118 W Pine St
Farmington, MO 63640-1403
Mailing address
118 West Pine
Farmington, MO 63640-1614
Phone (573) 701-5902
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002053 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202083200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202083200000",
"number": "1144408949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 WEST PINE",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401614",
"telephone_number": "573-701-5902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 W PINE ST",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636401403",
"telephone_number": "573-701-5902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER-GARNER",
"first_name": "JANE",
"middle_name": "ELLEN",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-04",
"last_updated": "2008-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "002053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, MO
- Steven Thomas Duel Wade, AU.D.
- Angela Nada Wadlow, BA
- Fisher Wadlow, FNP
- Tara R Wadlow, FNP
- Kathleen A Waggoner, LPC
- Kaitlinn Ann Waite, HIS
- Wal-Mart Stores East LP (Walmart Pharmacy 10-0037)
- Wal-Mart Stores East, LP (Vision Center 30-0037)
- Walgreen Co (Walgreens #05624)
- Walgreen Co (Walgreens #21312)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.