KRYSTALYN JEANNETTE WAGNER
NPI 1285389783
Counselor in Beverly Hills, FL

Active since February 14, 2022
3404 N LECANTO HWY, BEVERLY HILLS, FL 34465(352) 419-4856 Get Directions Write a Review

NPPES record last updated: February 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Krystalyn Jeannette Wagner NPPES

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

KRYSTALYN JEANNETTE WAGNER (NPI 1285389783) is an individual counselor in Beverly Hills, Florida and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1285389783
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKRYSTALYN JEANNETTE WAGNER
Location Address3404 N LECANTO HWYBeverly Hills, FL 34465-3569
Mailing Address3404 N Lecanto Hwy Ste DBeverly Hills, FL 34465-3569
Sole ProprietorYes
Enumeration DateFebruary 14, 2022
NPPES CertifiedFebruary 14, 2022
NPI 1285389783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
3404 N LECANTO HWY, Beverly Hills, FL 34465

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

Clinic/Center (Podiatric)
3404 N LECANTO HWY, SUITE A
BEVERLY HILLS, FL 34465
Counselor
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465
Clinic/Center
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465
Podiatrist (Foot & Ankle Surgery)
3404 N LECANTO HWY, SUITE A
BEVERLY HILLS, FL 34465
Counselor
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465
Social Worker (Clinical)
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465
Counselor (Mental Health)
3404 N LECANTO HWY, STE D
BEVERLY HILLS, FL 34465
Social Worker (Clinical)
3404 N LECANTO HWY
BEVERLY HILLS, FL 34465

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 Krystalyn Wagner's NPI number?

The NPI number for Krystalyn Wagner is 1285389783. It was assigned to this individual provider in the NPPES registry on February 14, 2022.

Where is Krystalyn Wagner located?

Krystalyn Wagner practices at 3404 N Lecanto Hwy, Beverly Hills, FL 34465. The listed phone number is (352) 419-4856.

What is Krystalyn Wagner's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Krystalyn Wagner was last updated on February 14, 2022. 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.