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

Jason Robert Wagner, CMHC

Individual provider Mental Health Counselor · NPI 1053700765

Jason Robert Wagner, CMHC is a Mental Health Counselor in Sandy, Utah. Qualified in 2014, 12 years ago. Practices with Moving Forward Counseling, a 2-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
12
Licensed in
UT
In the registry since
2015
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Practice location Address checks out

9844 S 1300 E Ste 250
Sandy, UT 84094-4691
Phone: (801) 243-2928
Fax: (801) 609-3649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 7717626-6009 (UT)

Record details

NPI number1053700765
Entity typeIndividual (Type 1)
GenderMale
Credentials CMHC
Sole proprietorYes
NPI enumeratedJanuary 19, 2015
Last updated in NPPESJuly 24, 2024
Certification dateJuly 24, 2024
Mailing address9844 S 1300 E Ste 250, Sandy, UT 84094-4691

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Moving Forward Counseling — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Sandy