Joy Wagner, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1245124 Issued in WI

Practice address

150 Miller St
Juneau, WI 53039-1320

Phone

(920) 214-3733

NPI assigned

Nov 30, 2016

Last updated

Dec 7, 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

Opted out of Medicare

Yes, effective Apr 3, 2026 through Apr 3, 2028

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Healing Relationships LLC

  • Marriage & Family Therapist
  • Juneau, WI
  • NPI 1255953923
  NPD Authorized official

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1841733474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 MILLER ST",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530391320",
            "telephone_number": "920-214-3733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 MILLER ST",
            "city": "JUNEAU",
            "state": "WI",
            "postal_code": "530391320",
            "telephone_number": "920-214-3733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "JOY",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-30",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "1245124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Turner
• Jade Elizabeth Van Buren, MSW, LCSW
• Tiffany Vande Zande
• Rayna Vogel
• Mary S Wafle, MS,LPC,NCC
• Trina Lane Wald
• Patricia Wallman-Meiers
• Watertown Regional Medical Center Inc (UWHP WRMC Juneau Clinic)
• Mary Beth Wellach, LPN
• Diane F White, RN

• Marriage & Family Therapist in Juneau, WI
• Providers in Juneau, WI by specialty
• Marriage & Family Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• 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.