IndividualActive
Jacob Vanwagoner
NPI 1699087718 · Counselor · Provo, UT
Jacob Vanwagoner is a Counselor provider in Provo, UT (NPI 1699087718).
Provider details
- NPI number
- 1699087718
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% 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
836 N 1375 W
Provo, UT 84604-3049
Phone: (801) 375-2523
Street-level locationGet directions
Mailing address
836 N 1375 W
Provo, UT 84604-3049
Registry dates
- Enumerated
- 2010-07-06
- Last updated
- 2010-07-06
Frequently asked questions
- What is Jacob Vanwagoner's NPI number?
- Jacob Vanwagoner's National Provider Identifier (NPI) is 1699087718, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Vanwagoner's specialty?
- Jacob Vanwagoner is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jacob Vanwagoner located?
- Jacob Vanwagoner's practice location on file with NPPES is 836 N 1375 W, Provo, UT 84604-3049.
- What is Jacob Vanwagoner's phone number?
- The practice phone number listed in the NPPES registry for Jacob Vanwagoner is (801) 375-2523.
- Is Jacob Vanwagoner's NPI active?
- Yes — Jacob Vanwagoner's NPI (1699087718) is active in the NPPES registry as of the last update on 2010-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.