Individual provider Active NPI

Gretchen Lee Wagner, LIMHP

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1720485014
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10417 Issued in NE
Practice address
308 N Locust St Ste 302
Grand Island, NE 68801-5984
Phone
(402) 469-0183
Fax
(888) 519-6127
NPI assigned
Dec 2, 2014
Last updated
Jun 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10417 NE Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

308 N Locust St Ste 302
Grand Island, NE 68801-5984

Mailing address

308 N Locust St Ste 302
Grand Island, NE 68801-5984
Phone (402) 469-0183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20240117000479 NE Practitioner - Mental Health Counselor 1052763984 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2348NEMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hope in Healing, LLC CurrentSince Jan 1, 2024 Accepting new patients
Compassionate Healing Counseling Services, Inc. PastSince Sep 5, 2023 Accepting new patients

Locations

1811 W 2nd St
Ste 420
Grand Island, NE 68803
Phone (308) 383-0569

308 N Locust St
Ste 302
Grand Island, NE 68801
Phone (308) 384-4617

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1720485014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N LOCUST ST STE 302",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015984",
            "telephone_number": "402-469-0183",
            "fax_number": "888-519-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N LOCUST ST STE 302",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688015984",
            "telephone_number": "402-469-0183",
            "fax_number": "888-519-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "GRETCHEN",
        "middle_name": "LEE",
        "credential": "LIMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-02",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "10417",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.