Active NPI
Kristin Nicole Wagner, LMHP, CMSW
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1518440890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 5440
- Practice address
- 2021 Saint Marys Ave
Omaha, NE 68102-2415 - Phone
- (402) 898-1697
- NPI assigned
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 1894 | NE | |
| Mental Health Counselor | 101YM0800X | 5440 | NE | Primary |
Addresses
Primary practice location
2021 Saint Marys Ave
Omaha, NE 68102-2415
Mailing address
2021 Saint Marys Ave
Omaha, NE 68102-2415
Phone (402) 898-1697
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5440 | NE | MD | School Social Worker |
| 1894 | NE | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1518440890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2021 SAINT MARYS AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681022415",
"telephone_number": "402-898-1697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2021 SAINT MARYS AVE",
"city": "OMAHA",
"state": "NE",
"postal_code": "681022415",
"telephone_number": "402-898-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAGNER",
"first_name": "KRISTIN",
"middle_name": "NICOLE",
"credential": "LMHP, CMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-12",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NE",
"license": "1894",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "5440",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.