Jason Fredrick Wagner
APRN, LMHC, MCAP | Addiction (Substance Use Disorder) Counselor | 6+ years Exp
111 W Coral Way, Hollywood
Florida, 33021-3860
954-964-6338 954-965-1327
Maps & DirectionsJason Fredrick Wagner is a Hollywood, Florida based counselor with 6 years of experience in Addiction (Substance Use Disorder) Counselor. He completed his graduation from Other in 2019. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Jason Fredrick Wagner is APRN11004343 for Nurse Practitioner in Florida. His current practice location is 111 W Coral Way, Hollywood. Patients can book an appointment with him at 954-964-6338.
Jason Fredrick Wagner is a licensed mental health therapist who help individuals struggling with addiction of alcohol, drug, or other substance use disorder. He helps his clients by manage and overcome the psychological, emotional, and behavioral challenges related to substance use. Counselors also work closely with families and support systems to help them better understand their loved one’s illness. SUD counselors help to promote long-term sobriety, emotional stability, and overall mental wellness for both the individual and their family.
Complete Profile:
Jason Fredrick Wagner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Jason Fredrick Wagner |
| Specialization: | Addiction (Substance Use Disorder) Counselor |
| Gender: | Male |
| Credentials: | APRN, LMHC, MCAP |
| Experience: | 6+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2019 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 111 W Coral Way, Hollywood,
Florida, 33021-3860 |
| Phone: | 954-964-6338 |
| Fax: | 954-965-1327 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 2668806159 |
| Enrollment ID: | I20191216001077 |
| NPI Number: | 1720536691 |
| NPI Enumeration Date: | 20 Sep, 2016 |
| NPI Last Update On: | 01 May, 2024 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jason Fredrick Wagner are as mentioned below.
| License Number | Specialization | State | Status | |
| APRN11004343 | Nurse Practitioner | Florida | Primary | |
| MH8961 | Addiction (Substance Use Disorder) Counselor | Florida | Secondary | |
| MH8961 | Mental Health Counselor | Florida | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Jason Fredrick Wagner is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| David Lawrence Mental Health Center, Inc (0547257313) | 28 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 135 Weston Rd # 236,
Weston, Florida |
| Zip: | 33326-1111 |
| Phone Number: | 954-483-5455 |
Patients can reach Jason Fredrick Wagner at
111 W Coral Way, Hollywood, Florida or can
call to book an appointment on 954-964-6338.
Comments/ Reviews:
Read all the reviews posted for Jason Fredrick Wagner below. You may also share your own experience with Jason Fredrick Wagner. Your feedback can help others make better decisions.
*
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.