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

Mr. Jonathan Stewart Wagner, LPC-MHSP, NCC

Individual provider Mental Health Counselor · NPI 1679144836

Mr. Jonathan Stewart Wagner, LPC-MHSP, NCC is a Mental Health Counselor in Nampa, Idaho. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2021
What do these letters mean?
NCC — National Certified Counselor
A counsellor certified by the NBCC.

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Practice location Address checks out

2141 W Moose Creek Dr
Nampa, ID 83686-5185
Phone: (615) 426-7352
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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 4117 (TN)

Record details

NPI number1679144836
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-MHSP , NCC
Sole proprietorYes
NPI enumeratedJuly 8, 2021
Last updated in NPPESJuly 8, 2021
Certification dateJune 12, 2021

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