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

Mrs. Jenna Van Wagner, MS

Individual provider Mental Health Counselor · NPI 1386979185

Mrs. Jenna Van Wagner, MS is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
3
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

5240 Dahlia Dr
Los Angeles, CA 90041-1407
Phone: (310) 428-3768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 59669 (CA)
Mental Health Counselor Taxonomy 101YM0800X
Marriage & Family Therapist Taxonomy 106H00000X · Licence LMFT77695 (CA)

Record details

NPI number1386979185
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedOctober 12, 2009
Last updated in NPPESFebruary 14, 2023
Certification dateFebruary 14, 2023

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