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

Jonathan Stuart Wagner, LPCC

Individual provider Mental Health Counselor · NPI 1447123724

Jonathan Stuart Wagner, LPCC is a Mental Health Counselor in Boulder, Colorado. Licensed in Colorado. Registered with an NPI since 2025.

Licensed in
CO
In the registry since
2025
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

1650 38th St Ste 100E
Boulder, CO 80301-2624
Phone: (720) 600-4830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPCC.0023950 (CO)
Mental Health Counselor Taxonomy 101YM0800X · Licence LPCC.0023950 (CO)

Record details

NPI number1447123724
Entity typeIndividual (Type 1)
GenderMale
Credentials LPCC
Sole proprietorNo
NPI enumeratedSeptember 24, 2025
Last updated in NPPESSeptember 24, 2025
Certification dateSeptember 24, 2025
Mailing address3434 47th St Ste 130, Boulder, CO 80301-1802

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