Tiffany Wynn Wagner, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

820 Issued in NC

Practice address

602 E Academy St
205
Fuquay Varina, NC 27526-2302

Phone

(919) 412-7321

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

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.

• Fuquay Family Counseling, PLLC

  • Marriage & Family Therapist
  • Fuquay Varina, NC
  • NPI 1275782831
  Authorized official Same address or phone

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255457479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "644 AIKEN PKWY",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262064",
            "telephone_number": "919-412-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 E ACADEMY ST",
            "address_2": "205",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275262302",
            "telephone_number": "919-412-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "TIFFANY",
        "middle_name": "WYNN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vazquez, LMHC
• Verbal Expressions Speech and Language Services LLC
• Zkhia Via, MSW, LCSWA
• Voca Corporation of North Carolina, Inc.
• Joy Vonk, PA-C
• Wake Specialty Physicians LLC (WakeMed Physician Practices Primary Care Fuquay Varina)
• Wake Specialty Physicians LLC (WakeMed Primary Care - Fuquay-Varina Medical Park)
• Wake Specialty Physicians LLC (WakeMed Childrens Pediatric Primary Care - Fuquay-Varina Medical Park)
• Wakemed Specialists Group LLC (WakeMed Wake Orthopaedics)
• Wakemed Specialists Group LLC (WakeMed Virtual Care)

• Marriage & Family Therapist in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.