Kristin St. Laurent Wagner, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1539 Issued in MT

Practice address

225 N 23Rd St
Billings, MT 59101-2223

Phone

(406) 252-1177

NPI assigned

Apr 26, 2011

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

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.

• Pine Ridge Counseling LLC

  • Clinical Social Worker
  • Billings, MT
  • NPI 1417257163
  NPD (past)
• Stacy G. York, LLC

  • Clinical Social Worker
  • Billings, MT
  • NPI 1154595775
  NPD (past)

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1992096812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 N 23RD ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591012223",
            "telephone_number": "406-252-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 N 23RD ST",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591012223",
            "telephone_number": "406-252-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAGNER",
        "first_name": "KRISTIN",
        "middle_name": "ST. LAURENT",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MT",
            "license": "1539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela L Wagenaar, PHD
• Robert S Wagenaar, MD
• Aimee July Wagner, NP
• Chelsie Marie Wagner
• Kathleen J. Wagner, LCSW, LMFT
• Teresa Wagner
• Troy D Wagner
• Caitlin Elizabeth Wainscott, MD
• Tamara K. Waite, RD
• Wal-Mart Stores, Inc

• Professional Counselor in Billings, MT
• Providers in Billings, MT by specialty
• Professional Counselor in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.