Jonathan Wagner, LPCC
NPI 1063006724 · Professional Counselor · Saint Paul, MN
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jonathan Wagner, LPCC is a Professional Counselor provider in Saint Paul, MN (NPI 1063006724).
Provider details
- NPI number
- 1063006724
- Entity type
- Individual
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Credential
- LPCC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 02291 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Additional practice locations (1)
- 320 Annapolis St EWest St Paul, MN 55118-1604Phone: (651) 210-9549
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2025-05-01
- Certified
- 2025-05-01
Frequently asked questions
- What is Jonathan Wagner's NPI number?
- Jonathan Wagner's National Provider Identifier (NPI) is 1063006724, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jonathan Wagner's specialty?
- Jonathan Wagner is listed in the NPPES registry with a primary specialty of Professional Counselor (Behavioral Health & Social Service Providers).
- Where is Jonathan Wagner located?
- Jonathan Wagner's practice location on file with NPPES is 2270 Ford Pkwy Ste 106, Saint Paul, MN 55116-3412.
- What is Jonathan Wagner's phone number?
- The practice phone number listed in the NPPES registry for Jonathan Wagner is (612) 915-0049.
- Does Jonathan Wagner accept Medicare?
- Jonathan Wagner is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jonathan Wagner's NPI active?
- Yes — Jonathan Wagner's NPI (1063006724) is active in the NPPES registry as of the last update on 2025-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.