KRISTIN LYNN WAGNER LMHC
NPI 1477219111
Counselor - Mental Health in Troy, NY
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.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kristin Lynn Wagner Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kristin Wagner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Saratoga Springs, NY 12866
- Reassigned Medicare billing, New York enrollment
- 127 clinicians in this Medicare group
Utica, NY 13501
- Reassigned Medicare billing, New York enrollment
- 25 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
TROY, NY 12180
TROY, NY 12180
TROY, NY 12180
TROY, NY 12180
TROY, NY 12180
TROY, NY 12180
TROY, NY 12180
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 enrollment system.
Which organizations bill Medicare for Kristin Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kristin Wagner reassigns Medicare benefits to 2 organizations: Professional Medical Concierge Services, PLLC (Saratoga Springs, NY) and The Neighborhood Center, Inc. (Utica, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kristin Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Kristin Lynn Wagner, LMHC · NPI 1477219111
Mental Health provider in Troy, New York. Individual provider, active in the CMS NPPES registry since November 16, 2021.
## Identity
- **NPI:** 1477219111 (Entity type: Individual)
- **Enumerated:** November 16, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** P110131 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2215 BURDETT AVENUE, SAMARITAN CAMPUS BEHAVIORAL HEALTH, Troy, NY 12180-2466
- **Phone:** (518) 271-3554
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Professional Medical Concierge Services, PLLC (NPI 1841812310, Saratoga Springs, NY); The Neighborhood Center, Inc. (NPI 1811088719, Utica, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 16, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1477219111) · Data from the CMS NPPES public registry.