Mya Isabella Wragge

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

P-2143 Issued in NE

Practice address

127 S 37TH St Ste B
Lincoln, NE 68510-1502

Phone

(402) 476-2300

NPI assigned

Apr 30, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Choices Treatment Center

  • Community/Behavioral Health Agency
  • Lincoln, NE
  • NPI 1376625434
  NPD (past)

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1932955804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S 37TH ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101502",
            "telephone_number": "402-476-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S 37TH ST STE B",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685101502",
            "telephone_number": "402-476-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRAGGE",
        "first_name": "MYA",
        "middle_name": "ISABELLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "P-2143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sadie Worthing
• Taylor Dionne Woullard
• Mikayla Athene Woutzke
• Newton Saye Woyeh
• Elizabeth Wozny, SLP-CCC
• Susan E. Wragge, MA, LMHP, CPC
• Rebecca Lynn Wrasse
• Brenda Wray, LADC
• Brittany Adell Wray, APRN
• Madilyn Wray

• Addiction (Substance Use Disorder) Counselor in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Addiction (Substance Use Disorder) Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.