Active NPI
Margaret Mary-Rose Wagner
- Mental Health Counselor
- Alexandria, VA
National Provider Identifier
1629947585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704018681
- Practice address
- 6408 Grovedale Dr Ste 204
Alexandria, VA 22310-2596 - Phone
- (920) 658-5150
- NPI assigned
- Oct 30, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704018681 | VA | Primary |
Addresses
Primary practice location
6408 Grovedale Dr Ste 204
Alexandria, VA 22310-2596
Mailing address
6366 Silver Ridge Cir
Alexandria, VA 22315-3429
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704018681 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1629947585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6366 SILVER RIDGE CIR",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223153429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6408 GROVEDALE DR STE 204",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223102596",
"telephone_number": "920-658-5150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "MARGARET",
"middle_name": "MARY-ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-30",
"last_updated": "2025-10-30",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704018681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
- Evelyn Cecilia Wadsworth, LCSW
- Cameron Waggoner, PT, DPT, NCS
- Jeffrey David Wagman, D.D.S.
- Wagner Autism Growth LLC
- Kaitlynn Nicole Wagner, CCC-SLP
- Megan Elizabeth Wagner, LBA, BCBA
- Wagoner LLC (Alexandria Audiology)
- Julie Kristen Wagoner, AUD
- Shaquira Wakefield, LCSW-C
- Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-2258)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.