IndividualActive
Nicole Wagner
NPI 1013668839 · Mental Health Counselor · Mesa, AZ
Nicole Wagner is a Mental Health Counselor provider in Mesa, AZ (NPI 1013668839).
Provider details
- NPI number
- 1013668839
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- LAC-19462 (AZ)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3707 E Southern Ave Ste 2055
Mesa, AZ 85206-6217
Phone: (605) 641-2972
Street-level locationGet directions
Mailing address
3707 E Southern Ave Ste 2055
Mesa, AZ 85206-6217
Registry dates
- Enumerated
- 2022-01-13
- Last updated
- 2022-01-13
- Certified
- 2022-01-10
Frequently asked questions
- What is Nicole Wagner's NPI number?
- Nicole Wagner's National Provider Identifier (NPI) is 1013668839, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nicole Wagner's specialty?
- Nicole Wagner is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Nicole Wagner located?
- Nicole Wagner's practice location on file with NPPES is 3707 E Southern Ave Ste 2055, Mesa, AZ 85206-6217.
- What is Nicole Wagner's phone number?
- The practice phone number listed in the NPPES registry for Nicole Wagner is (605) 641-2972.
- Is Nicole Wagner's NPI active?
- Yes — Nicole Wagner's NPI (1013668839) is active in the NPPES registry as of the last update on 2022-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.