Andrea Louise Wagner, MED

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

02206 Issued in MN

Practice address

1052 Oak Forest Dr Ste 190
Onalaska, WI 54650-3705

Phone

(507) 884-1497

NPI assigned

Sep 29, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Andrea Wagner Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Locations

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

• Courage to Grow Counseling Center, LLC

  • Professional Counselor
  • Onalaska, WI
  • NPI 1467390344

  Mental Health

  NPD Authorized official
• Highland Meadows Counseling Center, Inc.

  • Multi-Specialty Clinic/Center
  • Rochester, MN
  • NPI 1558628545
  NPD
• Meadows Center for Mental Health Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Rochester, MN
  • NPI 1467239533
  NPD

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1265049779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 ANNAPOLIS DR",
            "city": "HOLMEN",
            "state": "WI",
            "postal_code": "546366408",
            "telephone_number": "507-884-1497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 OAK FOREST DR STE 190",
            "city": "ONALASKA",
            "state": "WI",
            "postal_code": "546503705",
            "telephone_number": "507-884-1497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "ANDREA",
        "middle_name": "LOUISE",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-29",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "02206",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11724-125",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "WAGNER",
            "credential": "MED",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Hans E. Von Weiss, DO
• Mariana K Vosika, MD
• Joanna Noel Voth, OT
• Amelia Vruble, RN
• Jay D Wagener
• Lawrence Wesley Waite, D.O.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP
• Sherrie L Walter, LPC, LPCC
• Walz Physical Therapy and Wellness LLC

• Professional Counselor in Onalaska, WI
• Providers in Onalaska, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.