DR. KESHIA BREANNE WAGERS PH.D.
NPI 1104496504
Psychologist in Manchester, KY

Active since June 28, 2021PECOS Enrolled
56 MARIE LANGDON DR, MANCHESTER, KY 40962(606) 598-4539 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2021, Jun 28, 2021 (2 updates tracked since 2021).

About Dr. Keshia Breanne Wagers Ph.d. NPPES

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

DR. KESHIA BREANNE WAGERS PH.D. (NPI 1104496504) is an individual psychologist in Manchester, Kentucky and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104496504
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. KESHIA BREANNE WAGERSCredential: PH.D.
Location Address56 MARIE LANGDON DRManchester, KY 40962-6329
Mailing Address56 Marie Langdon DrManchester, KY 40962-6329
Sole ProprietorYes
Enumeration DateJune 28, 2021
Last NPPES UpdateOctober 6, 20212 updates tracked since enumeration
NPPES CertifiedOctober 6, 2021
NPI 1104496504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
56 MARIE LANGDON DR, Manchester, KY 40962

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Keshia Breanne Wagers Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Urology
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Peer Specialist
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Peer Specialist
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Nurse Practitioner (Family)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Nurse Practitioner (Family)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Clinic/Center (Rural Health)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Social Worker (Clinical)
56 MARIE LANGDON DR
MANCHESTER, KY 40962
Physician Assistant (Medical)
56 MARIE LANGDON DR
MANCHESTER, KY 40962

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 Keshia Wagers's NPI number?

The NPI number for Keshia Wagers is 1104496504. It was assigned to this individual provider in the NPPES registry on June 28, 2021.

Where is Keshia Wagers located?

Keshia Wagers practices at 56 Marie Langdon Dr, Manchester, KY 40962. The listed phone number is (606) 598-4539.

What is Keshia Wagers's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Keshia Wagers enrolled in Medicare?

Yes. Keshia Wagers is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keshia Wagers was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.