Active NPI
Joshua Wagner
- Mental Health Counselor
- Harvey, LA
National Provider Identifier
1205387941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4040 S. Indingo Dr
Harvey, LA 70056-7876 - Phone
- (504) 339-3023
- NPI assigned
- Oct 18, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4040 S. Indingo Dr
Harvey, LA 70056-7876
Mailing address
4040 S. Indingo Dr
Harvey, LA 70058
Phone (504) 339-3023
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1205387941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 S. INDINGO DR",
"city": "HARVEY",
"state": "LA",
"postal_code": "70058",
"telephone_number": "504-339-3023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 S. INDINGO DR",
"city": "HARVEY",
"state": "LA",
"postal_code": "700567876",
"telephone_number": "504-339-3023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "JOSHUA",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-18",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Harvey, LA
- Henry Thanh Vu, DOCTOR OF ACUPUNCTUR
- Quang The Vu, M.D.
- Truyen The Vu, MD
- Calvin Vuong, PA-C
- Ishmir Wafiq
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2706)
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5722)
- Wal-Mart Stores Louisiana, LLC (Vision Center 30-2706)
- Walgreen Co (Walgreens #06637)
- Walgreen Louisiana Co Inc (Walgreens #03156)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.