KRISTIN M WAGNER (NPI# 1457654808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457654808 |
| Entity Type | Individual |
| Full Name | KRISTIN M WAGNER |
| Credential | M.A., L.P.C. |
| Practice Address |
1461 Hickory Ct Erie CO 80516-7986 |
| Practice Telephone | 3035041037 |
| Mailing Telephone | 3038822755 |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2015-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | NLC.0103656 | CO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952743924 | Kristin Wagner | Physician Assistant | 2200 W. Eau Gallie Blvd., Suite 202c, Melbourne, FL 32935-3166 | 2013-07-19 |
| 1205105624 | Kristin Diane Wagner | Nurse Practitioner | 915 W Maple, Columbus, KS 66725 | 2011-12-14 |
| 1558903468 | Kristin Wagner | Social Worker | 10630 Little Patuxent Pkwy Ste 209, Columbia, MD 21044-6278 | 2019-10-11 |
| 1518440890 | Kristin Nicole Wagner | Social Worker | 2021 Saint Marys Ave, Omaha, NE 68102-2415 | 2018-09-12 |
| 1205316676 | Kristin Wagner | Speech-Language Pathologist | 2499 Zerbe Rd, Narvon, PA 17555-9328 | 2018-08-15 |
| 1528480274 | Kristin Behrens Wagner | Counselor | 940 E Haverford Rd, Suite 102, Bryn Mawr, PA 19010-3845 | 2014-01-15 |
| 1053674945 | Kristin L Wagner | Nurse Practitioner | 1729 Burrstone Rd, New Hartford, NY 13413-1001 | 2012-06-17 |
| 1992096812 | Kristin St. Laurent Wagner | Counselor | 225 N 23rd St, Billings, MT 59101-2223 | 2011-04-26 |
| 1063699056 | Kristin Michelle Wagner | Social Worker | 2540 Charleston St, Oakland, CA 94602-2508 | 2008-01-22 |
| 1992879092 | Kristin Jo Wagner | Pharmacist | 3919 N Maple St, Spokane, WA 99205-1349 | 2006-11-20 |
| Street Address |
1461 HICKORY CT |
| City | ERIE |
| State | CO |
| Zip Code | 80516-7986 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605411 | Casey Elizabeth Dunne | Behavior Technician | 685 Briggs Street, Erie, CO 80516 | 2020-09-28 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1013561414 | Giselle Serrano | Dentist | 1927 Colorado State Hwy 7 Ste 101, Ste 101, Erie, CO 80516 | 2019-07-25 |
| 1790348258 | Wild Sun Behavioral Services, LLC | Behavioral Analyst | 685 Briggs St, Erie, CO 80516 | 2019-04-19 |
| 1174011274 | Erie Modern Dentistry, LLP | Dentist | 1927 Colorado State Hwy 7, Suite 101, Erie, CO 80516 | 2018-04-25 |
| 1255843975 | Colorado Dental Professionals, LLC | Dentist | 440 Erie Pkwy, Erie, CO 80516 | 2017-11-03 |
| 1902315476 | Elizabeth Ann Shedd | Nurse Practitioner | 2303 Dogwood Drive, Erie, CO 80516 | 2017-09-27 |
| 1174041073 | Anna Geheren | Registered Nurse | 764 High St, Erie, CO 80516 | 2017-08-31 |
| 1033659321 | T. Brian Cope D.d.s. P.C. | Dentist | 71 Erie Parkway, Suite 101, Erie, CO 80516 | 2017-03-06 |
| 1962959569 | Dillon Companies LLC | Durable Medical Equipment & Medical Supplies | 1981 State Hwy 7, Erie, CO 80516 | 2016-09-01 |
| Find all providers in zip 80516 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386529 | Dawn Renee Sokol | Counselor | 4444 Sterrettania Rd, Erie, PA 16506-4129 | 2018-05-17 |
| 1821586348 | Lisa Yaple | Counselor | 2721 Elmwood Ave, Erie, PA 16508-1422 | 2018-04-30 |
| 1356851596 | Diamonds Enterprise Health Services,llc | Counselor | 2221 Peninsula Dr # 209, Erie, PA 16506-2954 | 2017-10-02 |
| 1609299155 | Deana Ann Hartshorn | Counselor | 1482 Brimble Dr, Erie, CO 80516-7254 | 2014-02-03 |
| 1376966150 | Kathleen Beaulieu | Counselor | 4380 W 12th St, Suite 3, Erie, PA 16505-3028 | 2014-01-29 |
| 1538594361 | Jennifer K Stahon | Counselor | 5006 Iroquois Ave, Erie, PA 16511-2457 | 2013-09-11 |
| 1215278197 | Eugene F. Shufesky | Counselor | 517 Maryland Ave Apt 316, 316, Erie, PA 16505-2253 | 2013-03-02 |
| 1114264777 | Optimal Solutions Colorado | Counselor | 215 Cheesman St., Suite K, Erie, CO 80516-8472 | 2013-01-15 |
| 1023377876 | Mark Theuerkauf | Counselor | 816 Poplar St, Erie, PA 16502-1250 | 2012-05-15 |
| 1558649228 | Jessica Ann Shepherd | Counselor | 804 Beaumont Ave, Erie, PA 16505-3417 | 2011-07-29 |
| Find all providers in ERIE | ||||
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| 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.