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KATELYN SHELBY WAGNER LMFT
NPI 1326802992
Marriage & Family Therapist in Norfolk, VA

Active since February 13, 2024Opted out of Medicare · through Apr 4, 2028
802 GRAYDON AVE APT A2, NORFOLK, VA 23507(602) 568-2038 Get Directions Write a Review

NPPES record last updated: February 13, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katelyn Shelby Wagner Lmft NPPES

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

KATELYN SHELBY WAGNER LMFT (NPI 1326802992) is an individual marriage & family therapist in Norfolk, Virginia, licensed in Colorado (MFT.0002519) and active in the NPI registry since February 2024. She has opted out of Medicare through April 4, 2028.

NPPES Registry Identity

NPI1326802992
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKATELYN SHELBY WAGNERCredential: LMFT
Location Address802 GRAYDON AVE APT A2Norfolk, VA 23507-1532
Mailing Address5900 Balcones Dr Ste 100Austin, TX 78731-4298
Phone(602) 568-2038
Sole ProprietorNo
Enumeration DateFebruary 13, 2024
NPPES CertifiedFebruary 13, 2024
✔ NPI 1326802992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CO · MFT.0002519✔ Licensed in TX · 204276
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
802 GRAYDON AVE APT A2, Norfolk, VA 23507
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Katelyn Shelby Wagner Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 4, 2024 through April 4, 2028.

Opt-Out Effective DateApril 4, 2024
Opt-Out In Effect ThroughApril 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Katelyn Wagner's NPI number?

The NPI number for Katelyn Wagner is 1326802992. It was assigned to this individual provider in the NPPES registry on February 13, 2024.

Where is Katelyn Wagner located?

Katelyn Wagner practices at 802 Graydon Ave Apt A2, Norfolk, VA 23507. The listed phone number is (602) 568-2038.

What is Katelyn Wagner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Katelyn Wagner enrolled in Medicare?

No. Katelyn Wagner has opted out of Medicare through April 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katelyn Wagner was last updated on February 13, 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.