KRISTIN LYNN WAGNER LMHC
NPI 1477219111
Counselor - Mental Health in Troy, NY

Active since November 16, 2021PECOS EnrolledAccepts Medicare Assignment
2215 BURDETT AVENUE, SAMARITAN CAMPUS BEHAVIORAL HEALTH, TROY, NY 12180(518) 271-3554 Get Directions Write a Review

NPPES record last updated: November 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kristin Lynn Wagner Lmhc NPPES

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

KRISTIN LYNN WAGNER LMHC (NPI 1477219111) is an individual mental health provider in Troy, New York, licensed in New York (P110131) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1477219111
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKRISTIN LYNN WAGNERCredential: LMHC
Location Address2215 BURDETT AVENUE, SAMARITAN CAMPUS BEHAVIORAL HEALTHTroy, NY 12180-2466
Mailing AddressPo Box 14890Albany, NY 12212-4890
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 16, 2021
NPPES CertifiedNovember 16, 2021
NPI 1477219111 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 NY · P110131
2215 BURDETT AVENUE, Troy, NY 12180

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kristin Lynn Wagner Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1052834959
PECOS Enrollment IDI20250401002786
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

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

Social Worker (Clinical)
2215 BURDETT AVENUE, SAMARITAN CAMPUS BEHAVIORAL HEALTH
TROY, NY 12180
Nurse Anesthetist, Certified Registered
2215 BURDETT AVENUE, SAMARITAN HOSPITAL
TROY, NY 12180
Nurse Anesthetist, Certified Registered
2215 BURDETT AVENUE
TROY, NY 12180
Social Worker
2215 BURDETT AVENUE, SAMARITAN CAMPUS BEHAVIORAL HEALTH
TROY, NY 12180
Student in an Organized Health Care Education/Training Program
2215 BURDETT AVENUE, SAMARITAN BEHAVIORAL HEALTH
TROY, NY 12180
Counselor (Mental Health)
2215 BURDETT AVENUE, SAMARITAN HOSPITAL BEHAVIORAL HEALTH
TROY, NY 12180
Counselor (Mental Health)
2215 BURDETT AVENUE, SAMARITAN CAMPUS BEHAVIORAL HEALTH
TROY, NY 12180
Radiology (Diagnostic Radiology)
2215 BURDETT AVENUE, SAMARITAN HOSPITAL IMAGING
TROY, NY 12180

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 Kristin Wagner's NPI number?

The NPI number for Kristin Wagner is 1477219111. It was assigned to this individual provider in the NPPES registry on November 16, 2021.

Where is Kristin Wagner located?

Kristin Wagner practices at 2215 Burdett Avenue Samaritan Campus Behavioral Health, Troy, NY 12180. The listed phone number is (518) 271-3554.

What is Kristin Wagner's specialty?

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

Is Kristin Wagner enrolled in Medicare?

Yes. Kristin Wagner is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kristin Wagner accept?

Health plans from Providence Health Plan list Kristin 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 Kristin Wagner was last updated on November 16, 2021. 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.