Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elisabeth P Wagner

Individual provider Mental Health Counselor · NPI 1760095152

Elisabeth P Wagner is a Mental Health Counselor in West Valley City, Utah. Licensed in Utah. Registered with an NPI since 2020.

Licensed in
UT
In the registry since
2020
Specialties on file
4

Practice location Address checks out

3737 W 4100 S
West Valley City, UT 84120-5543
Phone: (888) 949-4864
Fax: (206) 901-2010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 9443009-6004 (UT)
Mental Health Counselor Taxonomy 101YM0800X
Social Worker Taxonomy 104100000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1760095152
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 26, 2020
Last updated in NPPESFebruary 25, 2025
Certification dateFebruary 25, 2025
Mailing address3725 W 4100 S Ste 201, Salt Lake City, UT 84120-5411

Other providers in West Valley City