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

Ian Wagner

Individual provider Mental Health Counselor · NPI 1932725744

Ian Wagner is a Mental Health Counselor in Allentown, Pennsylvania. Qualified in 2020, 6 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
6
In the registry since
2020
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1401 W Pennsylvania St
Allentown, PA 18102-1036
Phone: (484) 640-6431
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1932725744
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2020
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022
Mailing address1401 W Pennsylvania St, Allentown, PA 18102-1036

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Allentown