IndividualActive
Katje Wagner, PHD, LPC
NPI 1114196680 · Counselor · Portland, OR
Provider details
- NPI number
- 1114196680
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- PHD, LPC
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(86/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
83% 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
1942 Nw Kearney St Ste 23
Portland, OR 97209-1465
Phone: (503) 313-5733
Street-level locationGet directions
Mailing address
1942 Nw Kearney St Ste 23
Portland, OR 97209-1465
Additional practice locations (1)
- 4735 Ne 75th AvePortland, OR 97218-3829Phone: (503) 313-5733
Registry dates
- Enumerated
- 2008-02-28
- Last updated
- 2024-04-03
- Certified
- 2024-04-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.