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Active NPI 1497100200 Individual Practitioner Male Practitioner

Nathan Wagner , LPC, CSAC

Counselor - Professional • Manassas, VA

Professional Overview & Biography Verified Profile Summary

Nathan Wagner, LPC, CSAC is a registered healthcare professional specializing in Counselor - Professional in Manassas, VA. Practice services are available at 9720 CAPITAL CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9720 Capital Ct
Suite 303

Manassas, VA 201102044

Telephone 5719214812
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Manassas, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.4 Yrs
State Avg: 14.7 Yrs
Regional Practice Density
137 Specialists

Practicing in Manassas, VA (6609 Statewide)

Telehealth Adoption Rate
3.6% 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 - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License VA 0701006557

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License VA 070102980

Definition to come...

Practice Associates & Co-Workers

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

7 Associated Practitioners
Ariadna Leyva Cruz , RBT

Behavior Technician

NPI 1003752205

Registered Behavior Technician

Brooke Stanley , LPC

Counselor - Professional

NPI 1104121003

Licensed Professional Counselor

Martina York

Behavior Technician

NPI 1588599864
Aniya Johnson

Behavior Technician

NPI 1659117679
Kelly Sanchez

Behavior Technician

NPI 1720904790
Elena Stevens , MA, LPC

Counselor - Professional

NPI 1902589179

Master of Arts, Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 29, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location April 29, 2016

Registered at 9720 CAPITAL CT, SUITE 303, MANASSAS, VA 201102044 (Tel: 5719214812)

📍
Updated Business Mailing Address April 29, 2016

Registered at 11835 HAZEL CIRCLE DR, BRISTOW, VA 201362180 (Tel: 5719214812)

👤
Provider Name / Credentials Updated April 29, 2016

Recorded as NATHAN WAGNER, LPC, CSAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 29, 2016

Counselor (License #070102980 in VA)

🟢
Initial NPI Registration & Enumeration April 29, 2016

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: 1497100200
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 29, 2016
Last Update: April 29, 2016
Sole Proprietor: No

Mailing Address

11835 Hazel Circle Dr

Bristow, VA 201362180

Phone: 5719214812

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.