Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447123724 Individual Practitioner Male Practitioner

Jonathan Stuart Wagner , LPCC

Counselor - Professional • Boulder, CO

Professional Overview & Biography Verified Profile Summary

Jonathan Wagner, LPCC is a registered healthcare professional specializing in Counselor - Professional in Boulder, CO. Practice services are available at 1650 38TH ST STE 100E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1650 38th St Ste 100e

Boulder, CO 803012624

Telephone 7206004830
Associated Practice Facility / Clinic
🏢 Connected Roots Llc Facility NPI 1124508734

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Boulder, CO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 13.1 Yrs
Regional Practice Density
345 Specialists

Practicing in Boulder, CO (7054 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-09-24
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO LPCC.0023950

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License CO LPCC.0023950

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
NPI 1033999024

Licensed Clinical Social Worker

Beth Erlander , MA, LPC, ATR

Counselor - Professional

NPI 1053579839

Master of Arts, Licensed Professional Counselor, ATR

Alexa Owen

Social Worker

NPI 1083594758
Dr. Daniel Brown , DPT

Physical Therapist

NPI 1124430699

Doctor of Physical Therapy

Marissa Brun , LMFT

Marriage & Family Therapist

NPI 1134534506

Licensed Marriage and Family Therapist

Gavin Richards

Counselor - Mental Health

NPI 1184442196

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 24, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location September 24, 2025

Registered at 1650 38TH ST STE 100E, BOULDER, CO 803012624 (Tel: 7206004830)

📍
Updated Business Mailing Address September 24, 2025

Registered at 3434 47TH ST STE 130, BOULDER, CO 803011802 (Tel: 7206004830)

👤
Provider Name / Credentials Updated September 24, 2025

Recorded as JONATHAN WAGNER, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 24, 2025

Counselor (License #LPCC.0023950 in CO)

🟢
Initial NPI Registration & Enumeration September 24, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447123724
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 24, 2025
Last Update: September 24, 2025
Sole Proprietor: No

Mailing Address

3434 47th St Ste 130

Boulder, CO 803011802

Phone: 7206004830

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.