Leeann Wagner LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00483700 Issued in NJ

Legal business name

LEEANN WAGNER LLC

Practice address

18 Kings Hwy Ste 202
Middletown, NJ 07748-2509

Phone

(201) 522-5108

NPI assigned

Feb 2, 2017

Organization subpart

No

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

Authorized official

Name

Leeann Wagner, LPC, LCADCNPI 1336375856

Title

Private Practioner

Phone

(201) 522-5108

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Leeann Wagner

  • Professional Counselor
  • Middletown, NJ
  • NPI 1336375856
  NPD Authorized official

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583971200000",
    "number": "1265970933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 LEONARD AVE",
            "city": "LEONARDO",
            "state": "NJ",
            "postal_code": "077371742",
            "telephone_number": "201-522-5108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 KINGS HWY STE 202",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077482509",
            "telephone_number": "201-522-5108"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Front St",
            "address_2": "206A",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077011155",
            "country_code": "US",
            "telephone_number": "201-522-5108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEEANN WAGNER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-02",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "LEEANN",
        "authorized_official_title_or_position": "PRIVATE PRACTIONER",
        "authorized_official_telephone_number": "201-522-5108",
        "authorized_official_credential": "LPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00483700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deidra Anne Kozlowski, M.A., M.S., L.P.C.
• Teresa Kuo, PA-C
• Kristine Peregrino Lacuna
• Rosalie Lanzisera, OTR
• Ross Larocca
• Leonardville Pulmonary and Sleep Associates LLC
• Hanane Leonetti, PHARM.D.
• Vincent Lepore, D.C.
• Alexandra Leschinsky, M.D.
• LNM DC PC

• Professional Counselor in Middletown, NJ
• Providers in Middletown, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2020; 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.