Individual provider Active NPI

Kaitlyn Wangler, MA LLPC

  • Counselor
  • Midland, MI
National Provider Identifier
1164933511
Registry record updated Sep 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
6451024344 Issued in MI
Practice address
2931 Manor Dr
Midland, MI 48640-4476
Phone
(989) 573-0820
NPI assigned
Oct 12, 2017
Last updated
Sep 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451024344 MI Primary

Addresses

Primary practice location

2931 Manor Dr
Midland, MI 48640-4476

Mailing address

20 E Mier Rd
Sanford, MI 48657-9578
Phone (989) 240-2575

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
6451024344MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Mitten Psychological Services LLC CurrentSince May 25, 2025 Accepting new patients

Locations

1912 S Saginaw Rd
Midland, MI 48640
Phone (989) 408-7587

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788652800000",
    "number": "1164933511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E MIER RD",
            "city": "SANFORD",
            "state": "MI",
            "postal_code": "486579578",
            "telephone_number": "989-240-2575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2931 MANOR DR",
            "city": "MIDLAND",
            "state": "MI",
            "postal_code": "486404476",
            "telephone_number": "989-573-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANGLER",
        "first_name": "KAITLYN",
        "credential": "MA LLPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2026-09-06",
        "certification_date": "2026-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451024344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2026; 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.