Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1790050433 Individual Practitioner Male Practitioner

Anthony Joseph Wagner

Counselor • Salem, OR

Professional Overview & Biography Verified Profile Summary

Anthony Wagner is a registered healthcare professional specializing in Counselor in Salem, OR. Practice services are available at 3878 BEVERLY AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3878 Beverly Ave Ne
Building H

Salem, OR 973051394

Telephone 5035764692

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Salem, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 12.6 Yrs
Regional Practice Density
197 Specialists

Practicing in Salem, OR (4551 Statewide)

Telehealth Adoption Rate
1.0% 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

Counselor Primary Specialty

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

16 Associated Practitioners
Elinor Taylor , QMHP

Counselor - Mental Health

NPI 1053716498

Qualified Mental Health Professional

Wendy Patzke , BS, QMHA, CADC I

Counselor - Addiction (Substance Use Disorder)

NPI 1164810560

Bachelor of Science, QMHA, CADCI

NPI 1184068793

CADCII, CGACI, QMHA

Madelyn Koontz , RD, LD

Dietitian, Registered

NPI 1265484364

Registered Dietitian, Licensed Dietitian

Melinda Rossow

Social Worker

NPI 1336545342
Dwayne Graves , CRM

Counselor - Addiction (Substance Use Disorder)

NPI 1457894552

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2012

Registered at 3878 BEVERLY AVE NE, BUILDING H, SALEM, OR 973051394 (Tel: 5035764692)

📍
Updated Business Mailing Address March 13, 2012

Registered at 5285 SW NASH AVE, CORVALLIS, OR 973339312 (Tel: 5034597199)

👤
Provider Name / Credentials Updated March 13, 2012

Recorded as ANTHONY WAGNER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2012

Counselor

🟢
Initial NPI Registration & Enumeration March 13, 2012

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: 1790050433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2012
Last Update: March 13, 2012
Sole Proprietor: No

Mailing Address

5285 Sw Nash Ave

Corvallis, OR 973339312

Phone: 5034597199

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.