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KENDRA ANNE WAGNER LMHC
NPI 1366138406
Counselor - Mental Health in Jacksonville, FL

Active since April 12, 2023
820 PRUDENTIAL DR STE 510, JACKSONVILLE, FL 32207(904) 376-3800 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 11, 2025, Apr 12, 2023 (2 updates tracked since 2023).

About Kendra Anne Wagner Lmhc NPPES

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

KENDRA ANNE WAGNER LMHC (NPI 1366138406) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH17634) and active in the NPI registry since April 2023.

NPPES Registry Identity

NPI1366138406
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKENDRA ANNE WAGNERCredential: LMHC
Location Address820 PRUDENTIAL DR STE 510Jacksonville, FL 32207-8207
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Sole ProprietorNo
Enumeration DateApril 12, 2023
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 11, 2025
✔ NPI 1366138406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH17634
820 PRUDENTIAL DR STE 510, Jacksonville, FL 32207
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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.

MELISSA NELSEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
JOSEPH VELASQUEZ PSY.D.
Student in an Organized Health Care Education/Training Program
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
RASHARIA C. CASON LCSW
Social Worker (Clinical)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
CHELSEA TAYLOR MOON-TISON
Social Worker (Clinical)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DANIELA WOODWARD
Student in an Organized Health Care Education/Training Program
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
ALICIA S EVANS
Nurse Practitioner (Psychiatric/Mental Health)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
DONALD POLLOCK MD.
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
RYAN MICHAEL MOROZE M.D.
Psychiatry & Neurology (Psychiatry)
820 PRUDENTIAL DR STE 510
JACKSONVILLE, FL 32207
Duval County (904) 376-3800

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 Kendra Wagner's NPI number?

The NPI number for Kendra Wagner is 1366138406. It was assigned to this individual provider in the NPPES registry on April 12, 2023.

Where is Kendra Wagner located?

Kendra Wagner practices at 820 Prudential Dr Ste 510, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Kendra Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Kendra Wagner accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kendra Wagner as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kendra Wagner was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.