Active NPI
Paul Wagner
- Counselor
- York, PA
National Provider Identifier
1942766787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 26 Mount Zion Rd
York, PA 17402-2601 - Phone
- (717) 840-0984
- Fax
- (717) 755-8859
- NPI assigned
- Feb 18, 2019
- Last updated
- Jun 24, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | Primary |
Addresses
Primary practice location
26 Mount Zion Rd
York, PA 17402-2601
Mailing address
200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 272-5464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103620423 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W Eisenhower Dr
Suite a
Hanover, PA 17331-1142
Phone (717) 632-8400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cognitive Health Solutions, LLC | Current | Accepting new patients | |
| Elevatemind, LLC | Current | Accepting new patients |
Locations
100 W Eisenhower Dr
Ste A
Hanover, PA 17331
Phone (717) 632-8400
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.
-
- Group Psychotherapy Psychologist
- Hanover, PA
- NPI 1821845389
-
- Psychologist
- Hanover, PA
- NPI 1326272600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561334400000",
"number": "1942766787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465040",
"telephone_number": "717-272-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MOUNT ZION RD",
"city": "YORK",
"state": "PA",
"postal_code": "174022601",
"telephone_number": "717-840-0984",
"fax_number": "717-755-8859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-18",
"last_updated": "2019-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "103620423",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.