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

Mr. Matthew D Wagner

Individual provider Mental Health Counselor · NPI 1174811798

Mr. Matthew D Wagner is a Mental Health Counselor in Colorado Springs, Colorado. Registered with an NPI since 2011.

In the registry since
2011

Practice location Address checks out

17 Farragut Ave
Colorado Springs, CO 80909-5625
Phone: (440) 521-6007
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1174811798
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 17, 2011
Last updated in NPPESJuly 10, 2013

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