Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457414930 Individual Practitioner Male Practitioner

Doug B Wagstaff , LPC

Counselor • American Fork, UT

Professional Overview & Biography Verified Profile Summary

Doug Wagstaff, LPC is a registered healthcare professional specializing in Counselor in American Fork, UT. Practice services are available at 475 W 50 N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

475 W 50 N
Comprehensive Psychological Services

American Fork, UT 84003

Telephone 8017563664
Fax 8017563698
Associated Practice Facility / Clinic
🏢 Alpine Counseling Center Facility NPI 1649515834

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in American Fork, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.9 Yrs
Regional Practice Density
24 Specialists

Practicing in American Fork, UT (3535 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

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License UT 3217496004

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

9 Associated Practitioners
NPI 1225346562
Eric Jenkins , LCSW

Social Worker - Clinical

NPI 1235579590

Licensed Clinical Social Worker

Brittany Dupaix

Social Worker - Clinical

NPI 1346984135
NPI 1417010190
Brian Robinson , CMHC

Counselor - Mental Health

NPI 1417307372
NPI 1467515932

Licensed Clinical Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 475 W 50 N, COMPREHENSIVE PSYCHOLOGICAL SERVICES, AMERICAN FORK, UT 84003 (Tel: 8017563664)

📍
Updated Business Mailing Address July 08, 2007

Registered at 475 W 50 N, AMERICAN FORK, UT 84003 (Tel: 8017563664)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as DOUG WAGSTAFF, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (License #3217496004 in UT)

🟢
Initial NPI Registration & Enumeration December 18, 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: 1457414930
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

475 W 50 N

American Fork, UT 84003

Phone: 8017563664

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.