Jana Wagner, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39656 Issued in MT

Practice address

520 N Wallace Ave
Bozeman, MT 59715-3758

Phone

(406) 939-4000

NPI assigned

Mar 18, 2021

Last updated

Mar 18, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1447836796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N WALLACE AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153758",
            "telephone_number": "406-939-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N WALLACE AVE",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153758",
            "telephone_number": "406-939-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JANA",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MT",
            "license": "39656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Waalkes, LMT
• Wade a Darr D.C. P.C.
• Kelsey Wadsworth, DPT
• Holly J Wagley, MSP, CCC-SLP
• Amy Wagner, FNP-C
• Kamerin Wagner, CLC
• Stephen Charles Wagner, PHD
• Zillah B. Waine-Shotland, M.A.
• Robert E Waldchen, P.T.
• Hillary Waldeisen

• Mental Health Counselor in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Mental Health Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.