Tidemark Therapy PLLC
NPI 1275939001 · Clinic/Center · Denison, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1275939001
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brittainy Wagner, Owner Provider(903) 267-4023
Specialties & taxonomies
Ambulatory Health Care Facilities
- Counselor101Y00000X
Behavioral Health & Social Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Physician Assistants & Advanced Practice Nursing Providers
- Clinical Social Worker1041C0700X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
8 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
Other names (DBA / former)
- Doing business as
- Brittainy A. Wagner, Lpc
- Doing business as
- Brittainy A. Wagner, Lpc
Additional practice locations (7)
- 3500 Oak Lawn Ave Ste 2000Dallas, TX 75219-4308Phone: (903) 265-8545Fax: (903) 487-0600
- 305 W Woodard St Ste 209Denison, TX 75020-3136Phone: (903) 265-8545Fax: (903) 487-0600
- 305 W Woodard St Ste 213Denison, TX 75020-3136Phone: (903) 265-8545Fax: (903) 487-0600
- 3256 Southern Dr Ste 461Garland, TX 75043-1533Phone: (903) 265-8545Fax: (903) 487-0600
- 2318 Firewheel Parkway Suite 2000Garland, TX 75040Phone: (903) 265-8545Fax: (903) 487-0600
- 618 Clara Barton Blvd Ste 7Garland, TX 75042-5731Phone: (903) 265-8545Fax: (903) 487-0600
- 10777 Westheimer Rd Ste 1100Houston, TX 77042-3462Phone: (903) 265-8545Fax: (903) 487-0600
Registry dates
- Enumerated
- 2014-11-05
- Last updated
- 2026-02-24
- Certified
- 2026-02-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.