Denise Wagner, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

165 Scott Ave
Suite 208
Morgantown, WV 26508-8839

Phone

(304) 292-1716

NPI assigned

Aug 18, 2016

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

Enrolled in WV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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.

• West Virginia University Medical Corporation

  • Family Medicine Physician
  • Morgantown, WV
  • NPI 1275504508
  Medicare reassignment NPD
• West Virginia University Medical Corporation

  • Community/Behavioral Health Agency
  • Martinsburg, WV
  • NPI 1174233530
  NPD
• United Summit Center Inc

  • Mental Health Counselor
  • Clarksburg, WV
  • NPI 1750332524
  NPD (past)

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1265987366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 SCOTT AVE",
            "address_2": "SUITE 208",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088839",
            "telephone_number": "304-292-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 SCOTT AVE",
            "address_2": "SUITE 208",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088839",
            "telephone_number": "304-292-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "DENISE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Wable
• Christine Shawn Wade, PA-C
• Delaney Aliece Wagener, MD (MAY 2020)
• Carol A Waggy, P.T.
• Amelia Wagner
• Jason Blair Wagner, APRN, FNP-C
• Kathryn Wagner
• Reginna L Wagoner, BCBA
• Noah Wahler, MH-PRSS
• Kimberly F Waibogha, LICSW

• Mental Health Counselor in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.