Karly Kathleen Wagner, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN.109024.MEDS Issued in OH

Practice address

5460 Cleveland Ave
Columbus, OH 43231-4074

Phone

(614) 568-8236

NPI assigned

Jul 24, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• New Season Counseling Center LLC

  • Substance Abuse Rehabilitation Facility
  • Columbus, OH
  • NPI 1093347064
  NPD (past)
• New Season Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1164018495
  NPD (past)

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1508748013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 MIDDLE URBANA RD",
            "city": "URBANA",
            "state": "OH",
            "postal_code": "430788228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 CLEVELAND AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432314074",
            "telephone_number": "614-568-8236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3141 Medina Ave",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432244222",
            "country_code": "US",
            "telephone_number": "614-568-8236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KARLY",
        "middle_name": "KATHLEEN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "LPN.109024.MEDS",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Devon Wagner, RDN, LD
• Emily Wagner
• Jill Wagner, RPH, PHARMD
• Jordan Wagner
• Julie Wagner, M.A., CCC/SLP
• Katelyn Wagner, LISW
• Kathryn Clare Wagner, PA-C
• Laura Jean Wagner, LSW
• Maddison Wagner, CPNP- PC
• Matthew Gary Wagner

• Licensed Practical Nurse in Columbus, OH
• Providers in Columbus, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2025; 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.