LEEANN WAGNER
NPI 1336375856
Counselor - Professional in Middletown, NJ

Q: What is Leeann Wagner's NPI number?

The NPI number for Leeann Wagner is 1336375856. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Q: What is Leeann Wagner's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leeann Wagner 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.

Active since June 10, 2009

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, Oct 2, 2018, Feb 2, 2017 (3 updates tracked since 2017).

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About Leeann Wagner NPPES

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

LEEANN WAGNER (NPI 1336375856) is an individual professional provider in Middletown, New Jersey, licensed in New Jersey (37PC00483700) and active in the NPI registry since June 2009. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336375856

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameLEEANN WAGNER

Location Address18 KINGS HWY STE 202Middletown, NJ 07748-2509

Mailing Address81 Leonard AveLeonardo, NJ 07737-1742

Phone(201) 522-5108

Sole ProprietorYes

Enumeration DateJune 10, 2009

Last NPPES UpdateMarch 12, 20203 updates tracked since enumeration

NPPES CertifiedMarch 12, 2020

✔ NPI 1336375856 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 Locations 2

Location 1166 Main StMatawan, NJ 07747-3104 · Phone (732) 290-9040 ext. 424

Location 2210 W Front St Ste 206ARed Bank, NJ 07701-1155 · Phone (201) 522-5108

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 LLC

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's NPI number?

The NPI number for Leeann Wagner is 1336375856. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Leeann Wagner located?

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

What is Leeann Wagner'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 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.