Jacob Aaron Waggoner, PHD

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

2829 Montana Ave Ste 203
El Paso, TX 79903-2421

Phone

(915) 269-5892

NPI assigned

Jan 17, 2026

Sex

Male

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Empowering Change, LLC

  • Adult Mental Health Clinic/Center
  • El Paso, TX
  • NPI 1134802846
  NPD (past)

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

{
    "created_epoch": "1768608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768608000000",
    "number": "1447119243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2829 MONTANA AVE STE 203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032421",
            "telephone_number": "915-269-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 MONTANA AVE STE 203",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799032421",
            "telephone_number": "915-269-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "JACOB",
        "middle_name": "AARON",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-17",
        "last_updated": "2026-01-17",
        "certification_date": "2026-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W.C. Larock, D.C. , P.C.
• Michael Keith Wade, LPC-S
• Allen Wadja, PT
• Brianne Wagenman, PA-C
• Brook Rene Wager, M.D.
• Elizabeth H. Wagner, MS, ATC,LAT
• Emily Wagner
• Linda Wagner, LPC
• Sterling Michael Wahlrab
• Stephen Kagondu Waigwa, PTA

• Social Worker in El Paso, TX
• Providers in El Paso, TX by specialty
• Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.