Katherine Wagner, LAC, LSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

ACD.0002699 Issued in CO

Practice address

150 Mercury Village Dr
Durango, CO 81301-8955

Phone

(970) 335-2342

Fax

(970) 335-2438

NPI assigned

Mar 26, 2025

Last updated

Feb 12, 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

Enrolled in CO

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

Specialty

Mental Health Counselor

Education

Other, 2024

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.wagner.p1@direct.ahs.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Colorado Mental Health Center, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Durango, CO
  • NPI 1932192598
  Medicare reassignment NPD
• Southwest Colorado Mental Health Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Telluride, CO
  • NPI 1124764774
  NPD
• Southwest Colorado Mental Health Center Inc

  dba Pagosa Springs Comprehensive Primary Care

  • Family Medicine Physician
  • Pagosa Springs, CO
  • NPI 1619761137
  NPD

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1508668823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813021328",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MERCURY VILLAGE DR",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813018955",
            "telephone_number": "970-335-2342",
            "fax_number": "970-335-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KATHERINE",
        "credential": "LAC, LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-26",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Viosca
• Julie Andrea Visnich
• Vituity-Colorado Anesthesia Services PC
• W. Donald Cooke
• Andrew James Wagner, M.D.
• Wahoske DMD PLLC
• Krista Waldron, LMT
• Dennis S Wales, MD
• Walgreen Co (Walgreens #19273)
• Walgreen Co (Walgreens #10371)

• Addiction (Substance Use Disorder) Counselor in Durango, CO
• Providers in Durango, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.