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

Katherine Wagner, LAC, LSW

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1508668823

Katherine Wagner, LAC, LSW is a Mental Health Counselor in Durango, Colorado. Qualified in 2024, 2 years ago. Licensed in Colorado.

Years since qualifying
2
Licensed in
CO
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

150 Mercury Village Dr
Durango, CO 81301-8955
Phone: (970) 335-2342
Fax: (970) 335-2438
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence ACD.0002699 (CO)

Record details

NPI number1508668823
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC , LSW
Sole proprietorNo
NPI enumeratedMarch 26, 2025
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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