KIARA NICOLE WAGONER (NPI# 1295926723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295926723 |
| Entity Type | Individual |
| Full Name | KIARA NICOLE WAGONER |
| Credential | LMHC |
| Practice Address |
1500 North Ritter Avenue Indianapolis IN 46219-3027 |
| Mailing Address |
1500 N Ritter Ave Indianapolis IN 46219-3027 |
| Practice Telephone | 3173552560 |
| Practice Fax Number | 3173552418 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2014-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39002180A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100270530 | 05 |
| Street Address |
1500 NORTH RITTER AVENUE |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46219-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598871246 | Diane E Stiles | Social Worker | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2006-08-22 |
| 1700165032 | Tim Horsman | Counselor | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2011-08-04 |
| 1861783169 | Carla Mathison | Social Worker | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2011-04-21 |
| 1528360112 | Melanie Straessle | Counselor | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2010-12-02 |
| 1659609329 | Chandra A Betts | Social Worker | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2009-11-18 |
| 1568798759 | Cicely D Wattley | Counselor | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2009-10-23 |
| 1639402084 | Amy J Van Sice | Counselor | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2009-09-16 |
| 1063745438 | Catherine Heath | Counselor | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2009-09-16 |
| 1790917060 | Joycelyn Y Wilson | Counselor | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2009-08-20 |
| 1861630758 | Annette Cherie Allen | Counselor | 1500 North Ritter Avenue, Indianapolis, IN 46219-3027 | 2009-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518571157 | Kara Kathryn Berning | Dietitian, Registered | 2040 N. Shadeland Ave, Suite 130, Indianapolis, IN 46219 | 2020-09-01 |
| 1780223750 | Erin Cannon | Specialist | 1543 N Post Rd, Indianapolis, IN 46219 | 2019-12-23 |
| 1073151239 | Tanicka Elizabeth Word | Behavior Technician | 6635 E 21st Street, West Building, Indianapolis, IN 46219 | 2019-12-18 |
| 1790322527 | Arlington Westend Dental LLC | Dentist | 5900 E 10th St, Indianapolis, IN 46219 | 2019-11-27 |
| 1336645985 | Lynell Westbrook Gates | Counselor | 1311 N Arlington Ave Ste 102, Indianapolis, IN 46219 | 2018-04-03 |
| 1861991689 | Comfort Dental LLC | Clinic/Center | 8151 E 21st St., Indianapolis, Indianapolis, IN 46219 | 2018-02-07 |
| 1467811570 | Fresenius Medical Care Indiana, LLC | Clinic/Center | 6701 E 21st St, Indianapolis, IN 46219 | 2016-02-17 |
| 1992197289 | Casey Baker | Physician Assistant | 1500 N Ritter Ave (medical Associates, LLP), Indianapolis, IN 46219 | 2015-02-24 |
| 1811398407 | Adam Romesser | Pharmacist | 8907 E. 10th St., Indianapolis, IN 46219 | 2014-09-15 |
| 1225448673 | Justin Stauffer | Pharmacist | 5903 E Pleasant Run Parkway North Dr, Indianapolis, IN 46219 | 2014-05-06 |
| Find all providers in zip 46219 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153914 | Beverli D Mason | Counselor | 10231 Chris Dr, Indianapolis, IN 46229-1875 | 2020-10-26 |
| 1376150656 | Shelia Hall | Counselor | 7422 Carnation Ln, Indianapolis, IN 46214-1066 | 2020-09-30 |
| 1205443090 | Laura Oliver | Counselor | 2274 Valley Creek Way, Indianapolis, IN 46229-1932 | 2020-09-26 |
| 1932714185 | Thrive Counseling Services, LLC | Counselor | 3750 Kentucky Avenue, Indianapolis, IN 46221-2700 | 2020-09-14 |
| 1033735055 | Luv Taylor | Counselor | 4117 Village Trace Blvd, Indianapolis, IN 46254-6222 | 2020-06-25 |
| 1366067159 | Amdaway Ibrahim | Counselor | 4013 Baker Dr, Indianapolis, IN 46235-1573 | 2020-06-08 |
| 1326661836 | Bridge Clinics | Counselor | 3702 E 10th St, Indianapolis, IN 46201-2554 | 2020-05-19 |
| 1457973380 | Anita J Adams | Counselor | 5218 Cornelius Ave, Indianapolis, IN 46208-2512 | 2020-05-14 |
| 1821610213 | Tiffany Lynette Thompson | Counselor | 4308 Ansar Ln, Indianapolis, IN 46254-3128 | 2020-05-08 |
| 1114549615 | Courtney Terrell | Counselor | 1118 N Audubon Rd, Indianapolis, IN 46219-3116 | 2020-05-07 |
| Find all providers in INDIANAPOLIS | ||||
| City | INDIANAPOLIS |
| Zip Code | 46219 |
Please comment or provide details below to improve the information on KIARA NICOLE WAGONER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.