Organization Active NPI

Katie Wagner Therapy PLLC

  • Adult Mental Health Clinic/Center
  • Rolling Meadows, IL
National Provider Identifier
1609676774
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
KATIE WAGNER THERAPY PLLC
Practice address
1551 Algonquin Rd # 1100
Rolling Meadows, IL 60008-4104
Phone
(773) 967-9108
NPI assigned
Mar 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

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

Authorized official

Name
Katherine WagnerNPI 1376147157
Title
Owner/Therapist
Phone
(773) 967-9108

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1551 Algonquin Rd # 1100
Rolling Meadows, IL 60008-4104

Mailing address

1551 Algonquin Rd # 1100
Rolling Meadows, IL 60008-4104
Phone (773) 967-9108

National Provider Directory

National Provider Directory

Locations

1551 Algonquin Rd
#1100
Rolling Meadows, IL 60008
Phone (773) 967-9108

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1742169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753920000000",
    "number": "1609676774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 ALGONQUIN RD # 1100",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084104",
            "telephone_number": "773-967-9108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1551 ALGONQUIN RD # 1100",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600084104",
            "telephone_number": "773-967-9108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE WAGNER THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-17",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "773-967-9108"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.