Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
JONATHAN ERIC WAGNER
Active
Individual
JONATHAN ERIC WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
02291
MN
101YP2500X
Professional Counselor
Primary
4525
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02291
STATE OF MINNESOTA
MN
Enumeration date
02/23/2021
Last updated
05/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up