AMANDA WAGNER (NPI# 1831576081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831576081 |
| Entity Type | Individual |
| Full Name | AMANDA WAGNER |
| Credential | M.ED., ED.S., LMFT |
| Practice Address |
3457 Brook Crossing Dr Brandon FL 33511-8181 |
| Practice Telephone | 8137678366 |
| Mailing Telephone | 8137678366 |
| Enumeration Date | 2015-04-27 |
| Last Update Date | 2015-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | MT2858 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932707072 | Amanda Lynn Wagner | In Home Supportive Care | 158 Fairhome Ave, Clyde, OH 43410-2006 | 2020-10-12 |
| 1205478294 | Amanda Wagner | Marriage & Family Therapist | 7021 W 153rd St Ste 5, Orland Park, IL 60462-5397 | 2019-10-11 |
| 1144683574 | Amanda Wagner | Counselor | 900 Darlington Ave, Mahwah, NJ 07430-2526 | 2016-04-02 |
| 1659748911 | Amanda E Wagner | Clinical Neuropsychologist | 2000 Alameda De Las Pulgas Ste 242, San Mateo, CA 94403-1271 | 2015-08-21 |
| 1295090504 | Amanda Wagner | Speech-Language Pathologist | 120 Se 5th Ave, Apt 223, Boca Raton, FL 33432-5072 | 2012-07-12 |
| 1154399152 | Amanda Griffin Wagner | Psychologist | 11 Charlie Morris Rd Bldg 2, Colbert, GA 30628-2445 | 2006-03-08 |
| 1396365797 | Amanda Wagner | Pharmacist | 1 Wyoming St, Dayton, OH 45409-2722 | 2020-04-26 |
| 1164058020 | Amanda C Wagner | Nurse Anesthetist, Certified Registered | 5645 Main St, Flushing, NY 11355-5045 | 2020-03-22 |
| 1780214320 | Amanda Wagner | Case Manager/Care Coordinator | 1744 Payne Ave, Cleveland, OH 44114-2910 | 2020-01-23 |
| 1366089914 | Amanda Wagner | Case Manager/Care Coordinator | 120 S Barstow St, Eau Claire, WI 54701-3642 | 2019-12-03 |
| Street Address |
3457 BROOK CROSSING DR |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-8181 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275587693 | Valarie Ann Kager | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2006-05-20 |
| 1336658152 | Erica Willer Psychotherapy, LLC | Marriage & Family Therapist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2017-09-25 |
| 1679011662 | Apollo Beach Counseling LLC | Counselor | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2017-02-09 |
| 1972052637 | Daniela Venosa, Psy.d., P.a. | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2016-09-22 |
| 1982073623 | Jessica K. Mahoney, Psy.d., P.a. | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2015-09-23 |
| 1134506736 | Daniela Venosa | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2015-05-03 |
| 1790196715 | Jessica Mahoney | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2014-05-13 |
| 1760800817 | Valarie A. Kager, Ph.d., P.a. | Clinic/Center | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2014-04-04 |
| 1790108504 | Brandon Area Psychology Associates, LLC | Marriage & Family Therapist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2014-01-29 |
| 1275969453 | Kimberly W. Miller, Psy.d., P.a. | Psychologist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2013-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417335878 | Mary-kathryn Lopez | Marriage & Family Therapist | 911 S Parsons Ave Ste H, Brandon, FL 33511-6042 | 2015-05-18 |
| 1487817623 | Dianne Jones | Marriage & Family Therapist | 213 Lakebend Cir, Brandon, MS 39042-2238 | 2008-07-08 |
| 1700909587 | Stephen Thomas Edwards II | Marriage & Family Therapist | 306 W Sadie St, Brandon, FL 33510-4440 | 2007-04-09 |
| 1982772638 | Laura Mars Richardson | Marriage & Family Therapist | 2008 Devonbriar Cv, Brandon, MS 39042-2945 | 2006-12-01 |
| 1346350485 | Esther Taylor Anglade | Marriage & Family Therapist | 1700 W. Government Street, Suite 207, Brooks of Water Counseling, Brandon, MS 39042 | 2006-08-30 |
| 1508829235 | Rudina Richter | Marriage & Family Therapist | 108 Mason St, Brandon, FL 33511-5210 | 2006-04-12 |
| 1841835543 | My Next Chapter LLC | Marriage & Family Therapist | 1044 E Brandon Blvd, Brandon, FL 33511-5509 | 2019-11-18 |
| 1295391977 | Barbara Blakely | Marriage & Family Therapist | 126 Lithia Pinecrest Rd, Brandon, FL 33511-5347 | 2019-05-17 |
| 1336658152 | Erica Willer Psychotherapy, LLC | Marriage & Family Therapist | 3457 Brook Crossing Dr, Brandon, FL 33511-8181 | 2017-09-25 |
| 1023544665 | Jennifer Lavecchia | Marriage & Family Therapist | 235 W Brandon Blvd, Suite 622, Brandon, FL 33511-5103 | 2017-05-02 |
| Find all providers in BRANDON | ||||
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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.