Douglas Wagner
Counselor • Centerville, MA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Douglas Wagner has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Douglas Wagner was a registered Counselor practicing in Centerville, MA. Throughout an active medical career spanning 11 years, Douglas Wagner provided care at the practice location at 889 W MAIN ST until profile deactivation on 2024-02-14.
Practice Location & Contact Primary Location
889 W Main St
Centerville, MA 026323067
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor in Centerville, MA
Practicing in Centerville, MA (9162 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 101Y00000X
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Behavior Analyst
Case Management
Community Health Worker
Counselor - Mental Health
Master of Arts
Behavior Analyst
Bachelor of Science
Counselor - Mental Health
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 14, 2024
NPI status registered as active in NPPES database
Registered at 889 W MAIN ST, CENTERVILLE, MA 026323067 (Tel: 5087712402)
Registered at 889 W MAIN ST, CENTERVILLE, MA 026323067 (Tel: 5087712402)
Recorded as DOUGLAS WAGNER
Counselor
First registered as active Individual Practitioner in NPPES Database.
Patient & Community Reviews
Verified patient ratings, medical care experiences, and facility photos
Sign in to leave a review for Douglas Wagner
Only verified registered users can submit ratings, post feedback, and upload facility photos.
NPI Administrative Meta
Mailing Address
889 W Main St
Centerville, MA 026323067
Phone: 5087712402
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.