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LEEANN WAGNER LLC
NPI 1265970933
Counselor - Professional in Middletown, NJ

Active since February 02, 2017
18 KINGS HWY STE 202, MIDDLETOWN, NJ 07748(201) 522-5108 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2020, Feb 2, 2017 (2 updates tracked since 2017).

About Leeann Wagner Llc NPPES

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

LEEANN WAGNER LLC (NPI 1265970933) is a healthcare organization registered as a professional in Middletown, New Jersey and active in the NPI registry since February 2017. The organization maintains a secondary practice location in Red Bank and lists Leeann Wagner, Private Practioner, as its authorized official.

NPPES Registry Identity

NPI1265970933
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLEEANN WAGNER LLC
Location Address18 KINGS HWY STE 202Middletown, NJ 07748-2509
Mailing Address81 Leonard AveLeonardo, NJ 07737-1742 · (201) 522-5108
Phone(201) 522-5108
Organization SubpartNo
Authorized OfficialLeeann WagnerPrivate Practioner · (201) 522-5108
Enumeration DateFebruary 2, 2017
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1265970933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00483700
18 KINGS HWY STE 202, Middletown, NJ 07748
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Secondary Practice Location 1

Location 1210 W Front St, 206ARed Bank, NJ 07701-1155 · Phone (201) 522-5108

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

DR. JENNIFER T. MASCOLO PSYD, NCSP
Psychologist
18 KINGS HWY STE 202
MIDDLETOWN, NJ 07748
Monmouth County (917) 757-7748
LEEANN WAGNER
Counselor (Professional)
18 KINGS HWY STE 202
MIDDLETOWN, NJ 07748
Monmouth County (201) 522-5108
BRODSKY WELLNESS LLC
Counselor (Mental Health)
18 KINGS HWY STE 202
MIDDLETOWN, NJ 07748
Monmouth County (732) 359-2212

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 Leeann Wagner LLC's NPI number?

The NPI number for Leeann Wagner LLC is 1265970933. It was assigned to this organization in the NPPES registry on February 2, 2017.

Where is Leeann Wagner LLC located?

Leeann Wagner LLC is located at 18 Kings Hwy Ste 202, Middletown, NJ 07748. The listed phone number is (201) 522-5108.

What is Leeann Wagner LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Leeann Wagner LLC was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.