Mon Valley Wellness LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MON VALLEY WELLNESS LLC

Practice address

510 Washington Ave
Carnegie, PA 15106-2874

Phone

(412) 822-6286

NPI assigned

Sep 20, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kyle William Wagner, LPCNPI 1225308836

Title

Owner

Phone

(412) 822-6286

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kyle W Wagner, LPC

  • Professional Counselor
  • Bethel Park, PA
  • NPI 1225308836
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1124798186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 W SCHWAB AVE",
            "city": "HOMESTEAD",
            "state": "PA",
            "postal_code": "151202236",
            "telephone_number": "412-512-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 WASHINGTON AVE",
            "city": "CARNEGIE",
            "state": "PA",
            "postal_code": "151062874",
            "telephone_number": "412-822-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MON VALLEY WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-17",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KYLE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-822-6286",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1225308836",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kwwagner@monvalleywellness.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "510 Washington Ave",
            "city": "Carnegie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151062874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lauren M Miller, DPT
• Amita Mital
• Ashley R Mitchell
• Judith A Moeller, RPH
• Genevieve Moffett, MT-BC
• Danielle Moretti
• Mark Aaron Morgan, D.M.D.
• Mountain Trail Counseling Services LLC
• Shawn Nairn, RPH
• Adelle Nalevanko, PHARM D

• Professional Counselor in Carnegie, PA
• Providers in Carnegie, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.