Active NPI
Cynthia Wagner, LPC
- Professional Counselor
- Arlington, VA
National Provider Identifier
1962706176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701005467
- Practice address
- 3801 Fairfax Dr Ste 61
Arlington, VA 22203-1762 - Phone
- (571) 523-7760
- NPI assigned
- Jan 3, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PRC14138 | DC | |
| Professional Counselor | 101YP2500X | 0701005467 | VA | Primary |
Addresses
Primary practice location
3801 Fairfax Dr Ste 61
Arlington, VA 22203-1762
Mailing address
1300 S Cleveland St Apt 361
Arlington, VA 22204-4848
Phone (703) 597-6928
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 |
|---|---|---|---|
| PRC14138 | DC | MD | Professional Counselor |
| 0701005467 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548547200000",
"number": "1962706176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 S CLEVELAND ST APT 361",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222044848",
"telephone_number": "703-597-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 FAIRFAX DR STE 61",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031762",
"telephone_number": "571-523-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "CYNTHIA",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2019-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "DC",
"license": "PRC14138",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701005467",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.