Joanna Wagner, MENTAL HEALTH INTERN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

16365 NW Twin Oaks Drive
#200
Beaverton, OR 97006

Phone

(503) 828-3402

NPI assigned

Sep 28, 2026

Last updated

Sep 28, 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": "1790553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790553600000",
    "number": "1306759543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 SW WALKER RD # 443",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970064942",
            "telephone_number": "503-828-3402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16365 NW TWIN OAKS DRIVE",
            "address_2": "#200",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "97006",
            "telephone_number": "503-828-3402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JOANNA",
        "credential": "MENTAL HEALTH INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-28",
        "last_updated": "2026-09-28",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennie Vu, D.M.D
• Kim CHI Vu, M.D.
• Tyler Vuong
• VW Wellness LLC
• W/You
• Paige Wagner
• Susan E Wagner, PA-C
• Joshua Wagoner
• Genevieve Chun Hwa Wahl, BSPHARM
• Jennifer Monique Wakumelo, E.F.D.A.

• Mental Health Counselor in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.