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Active NPI 1285643791 Individual Practitioner Female Practitioner

Elizabeth Wagner , LPCC

Counselor - Professional • Bernalillo, NM

Professional Overview & Biography Verified Profile Summary

Elizabeth Wagner, LPCC is a certified Counselor - Professional practicing in Bernalillo, NM. With approximately 24 years of clinical experience since completing medical education in 2002, Elizabeth Wagner delivers high-quality medical care to the local community at 872 S CAMINO DEL PUEBLO.

Elizabeth Wagner does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

872 S Camino Del Pueblo

Bernalillo, NM 870045927

Telephone 5058672383
Fax 5058677293
Associated Practice Facility / Clinic
🏢 La Buena Vida, Inc. Facility NPI 1386676856

Medicare Profile & Education

Medical School

Other

Graduation Year

2002

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Bernalillo, NM

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
24 Yrs +0.5 yrs vs City Avg
City Avg: 23.5 Yrs
State Avg: 19.5 Yrs
Regional Practice Density
9 Specialists

Practicing in Bernalillo, NM (1328 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wagner (24 Years) 24 Yrs
Bernalillo Specialty Average (23.5 Years) 23.5 Yrs

Medical Specialties & State Licenses

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License NM 008010

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
75129825 (NM)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jesus Villanueva

Case Manager/Care Coordinator

NPI 1023287570
Madeleine Stevens , LPCC, LPAT

Counselor - Professional

NPI 1053575753

Licensed Professional Clinical Counselor, LPAT

Cindy Martinez

Case Manager/Care Coordinator

NPI 1053690107
Timothy Jackson

Case Manager/Care Coordinator

NPI 1073697017
Aubrie Bushaw , CCSS, PSR

Case Manager/Care Coordinator

NPI 1104312891
Linda Menzel , LPCC

Counselor - Professional

NPI 1104836121

Licensed Professional Clinical Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location May 02, 2008

Registered at 872 S CAMINO DEL PUEBLO, BERNALILLO, NM 870045927 (Tel: 5058672383)

📍
Updated Business Mailing Address May 02, 2008

Registered at 782 TRAMWAY PL NE APT C, ALBUQUERQUE, NM 871221614 (Tel: 5058672383)

👤
Provider Name / Credentials Updated May 02, 2008

Recorded as ELIZABETH WAGNER, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2008

Counselor (License #008010 in NM)

🟢
Initial NPI Registration & Enumeration August 05, 2006

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: 1285643791
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 05, 2006
Last Update: July 12, 2026
Sole Proprietor: No

Mailing Address

782 Tramway Pl Ne Apt C

Albuquerque, NM 871221614

Phone: 5058672383

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.