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KYLE WAGNER
NPI 1083446850
Counselor - Mental Health in Lyons, NY

Active since August 19, 2024

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kyle Wagner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYLE WAGNER (NPI 1083446850) is an individual mental health provider in Lyons, New York and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1083446850
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKYLE WAGNER
Location Address1519 NYE RDLyons, NY 14489-9133
Mailing Address1519 Nye RdLyons, NY 14489-9133
Phone(315) 946-5722
Sole ProprietorNo
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1083446850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1519 NYE RD, Lyons, NY 14489
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. WENDY N. WEBSTER BA, CASAC, LMHC
Counselor (Mental Health)
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722
MORGAN WADSWORTH
Peer Specialist
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5750
FRANCIS MODAFFARI CASAC
Counselor (Addiction (Substance Use Disorder))
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722
JACK B BICKFORD
Counselor (Mental Health)
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722
MRS. DENISE DELPAPA RN
Registered Nurse (Home Health)
1519 NYE RD, SUITE 200
LYONS, NY 14489
Wayne County (315) 946-5749
SAMANTHA MINNS
Counselor
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722
PAMELA S TAYLOR RN, BSN
Registered Nurse (Home Health)
1519 NYE RD, SUITE 200
LYONS, NY 14489
Wayne County (315) 946-5749
ANGELINA PEARSON
Case Manager/Care Coordinator
1519 NYE RD
LYONS, NY 14489
Wayne County (315) 946-5722

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyle Wagner's NPI number?

The NPI number for Kyle Wagner is 1083446850. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Kyle Wagner located?

Kyle Wagner practices at 1519 Nye Rd, Lyons, NY 14489. The listed phone number is (315) 946-5722.

What is Kyle Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kyle Wagner was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.