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

Jonathan Eric Wagner, LPCC

Individual provider Mental Health Counselor · NPI 1063006724

Jonathan Eric Wagner, LPCC is a Mental Health Counselor in Saint Paul, Minnesota. Qualified in 2014, 12 years ago. Practices with Family Innovations Inc, a 93-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
12
Licensed in
MN
In the registry since
2021
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

2270 Ford Pkwy Ste 106
Saint Paul, MN 55116-3412
Phone: (612) 915-0049
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 320 Annapolis St E, West St Paul, MN 55118-1604 — (651) 210-9549

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 4525 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 02291 (MN)

Record details

NPI number1063006724
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorYes
NPI enumeratedFebruary 23, 2021
Last updated in NPPESMay 1, 2025
Certification dateMay 1, 2025

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 Family Innovations Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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