Chelsea Wagner, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17673 Issued in FL

Practice address

2325 Ulmerton Rd Ste 7-D
Clearwater, FL 33762-2282

Phone

(813) 892-9841

NPI assigned

Apr 12, 2021

Last updated

Apr 12, 2021By the provider in NPPES

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

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

{
    "created_epoch": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1851971006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 S SPARKMAN ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336161838",
            "telephone_number": "813-892-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 ULMERTON RD STE 7-D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337622282",
            "telephone_number": "813-892-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "CHELSEA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calista Waddell
• Jillian Wade
• Kevin M. Wade, LMT, CINT
• Rodna Wade
• Simon Wade, PT, DPT
• David Alan Wagner, D.D.S.
• Donna Wagoner-Stumpe, CNM
• Wal-Mart Stores East LP (Wal-Mart Pharmacy 10-3372)
• Wal-Mart Stores East LP (WalMart Pharmacy 10-5670)
• Wal-Mart Stores East LP (Walmart Pharmacy 10-2081)

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Mental Health Counselor in Florida

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