MS. KATHYRN ANN WAGNER LADC
NPI 1386167708
Counselor - Addiction (Substance Use Disorder) in Willmar, MN

Active since July 18, 2017
1700 TECHNOLOGY DR NE SUITE 203 #2, WILLMAR, MN 56201(320) 905-6152 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2025, May 17, 2024, Jul 21, 2022 and 1 more (4 updates tracked since 2017).

About Ms. Kathyrn Ann Wagner Ladc NPPES

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

MS. KATHYRN ANN WAGNER LADC (NPI 1386167708) is an individual addiction (substance use disorder) provider in Willmar, Minnesota, licensed in Minnesota (301935) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1386167708
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. KATHYRN ANN WAGNERCredential: LADC
Location Address1700 TECHNOLOGY DR NE SUITE 203 #2Willmar, MN 56201-2295
Mailing Address1700 Technology Dr Ne Suite 203 #2Willmar, MN 56201-2295 · (320) 905-6152
Sole ProprietorYes
Enumeration DateJuly 18, 2017
Last NPPES UpdateJuly 7, 20254 updates tracked since enumeration
NPPES CertifiedJuly 7, 2025
NPI 1386167708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in MN · 301935

Accepted Insurance

Other Providers at the Same Location NPPES

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

Substance Abuse Rehabilitation Facility
1700 TECHNOLOGY DR NE SUITE 203 #2
WILLMAR, MN 56201

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 Kathyrn Wagner's NPI number?

The NPI number for Kathyrn Wagner is 1386167708. It was assigned to this individual provider in the NPPES registry on July 18, 2017.

Where is Kathyrn Wagner located?

Kathyrn Wagner practices at 1700 Technology Dr NE Suite 203 #2, Willmar, MN 56201. The listed phone number is (320) 905-6152.

What is Kathyrn Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

What insurance does Kathyrn Wagner accept?

Health plans from HealthPartners list Kathyrn 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 Kathyrn Wagner was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.