Mya Isabella Wragge
Counselor, Addiction (Substance Use Disorder) in Lincoln, NE. Individual provider (NPI-1).
NPI number1932955804
StatusActive
Last updated in NPPESApr 30, 2024
Details
- NPI
- 1932955804
- Entity type
- Individual (NPI-1)
- Name
- Mya Isabella Wragge
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2024
- Certification date
- Apr 30, 2024
- Last updated
- Apr 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | P-2143 | NE | Yes |
Practice location
127 S 37th St Ste BLincoln, NE 68510-1502
Phone 402-476-2300
Mailing address
127 S 37th St Ste BLincoln, NE 68510-1502
Phone 402-476-2300
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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