Wagner Psychotherapy LLC
NPI 1962179804 · Clinical Psychologist · Fairfax, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Wagner Psychotherapy LLC is a Clinical Psychologist organization in Fairfax, VA (NPI 1962179804).
Provider details
- NPI number
- 1962179804
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Diane Wagner, Owner(703) 646-1518
Specialties & taxonomies
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
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
Mailing address
Registry dates
- Enumerated
- 2021-08-27
- Last updated
- 2021-08-27
- Certified
- 2021-08-27
Frequently asked questions
- What is Wagner Psychotherapy LLC's NPI number?
- Wagner Psychotherapy LLC's National Provider Identifier (NPI) is 1962179804, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Wagner Psychotherapy LLC?
- Wagner Psychotherapy LLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Wagner Psychotherapy LLC located?
- Wagner Psychotherapy LLC's practice location on file with NPPES is 8280 Willow Oaks Corporate Drive, Fairfax, VA 22031-4516.
- What is Wagner Psychotherapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Wagner Psychotherapy LLC is (703) 646-1518.
- Does Wagner Psychotherapy LLC accept Medicare?
- Wagner Psychotherapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Wagner Psychotherapy LLC?
- The authorized official listed on Wagner Psychotherapy LLC's NPPES record is Diane Wagner, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Wagner Psychotherapy LLC's NPI active?
- Yes — Wagner Psychotherapy LLC's NPI (1962179804) is active in the NPPES registry as of the last update on 2021-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.