Susan Folmar Wagner, QMHP, MS

Primary specialty

School CounselorTaxonomy code 101YS0200X

Practice address

1040 Allegheny Ave SW
Ocean Crest School
Bandon, OR 97411-9034

Phone

(541) 347-4940

NPI assigned

Jun 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Ms. Susan F Moskowitz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1437353976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1975 MCPHERSON ST",
            "address_2": "SUITE 2",
            "city": "NORTH BEND",
            "state": "OR",
            "postal_code": "974593482",
            "telephone_number": "541-347-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 ALLEGHENY AVE SW",
            "address_2": "OCEAN CREST SCHOOL",
            "city": "BANDON",
            "state": "OR",
            "postal_code": "974119034",
            "telephone_number": "541-347-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "SUSAN",
        "middle_name": "FOLMAR",
        "name_prefix": "Ms.",
        "credential": "QMHP, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 15083",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "MOSKOWITZ",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "QMHP, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tri- City Podiatric Physicians & Surgeons LTD
• Amie Michelle Turner, LMT
• Ingrid Maria Tyson, MS FNP
• Tina Elaine Vecera, LAC
• Ivy Christine Wagner, DBH, LCSW
• Gabrielle Schaefer Weishoff, D.M.D.
• Well Within
• William M. Soper, DDS
• Stephen Wilson, RPH
• Nicole Lavee Woolley

• School Counselor in Bandon, OR
• Providers in Bandon, OR by specialty
• School Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.