Melissa Renee Wagner

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

196849 Issued in OH

Practice address

4705 State Rd
Cleveland, OH 44109-5244

Phone

(440) 468-6550

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1245134105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6853 TOBIK TRL",
            "city": "PARMA HEIGHTS",
            "state": "OH",
            "postal_code": "441304514",
            "telephone_number": "216-798-9257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4705 STATE RD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441095244",
            "telephone_number": "440-468-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "MELISSA",
        "middle_name": "RENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "196849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth I Wagner, QMHS
• John L. Wagner, M.D.
• Karl G Wagner, MD
• Marie C Wagner, CRNA
• Marissa Wagner, RPH
• Monique J Wagner
• Patty Wagner
• Paul Wagner, RBT
• Tamara Wagner
• Samantha Wagoner, QMHS3YRS CMS

• Addiction (Substance Use Disorder) Counselor in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.