1. Home
  2. Directory
  3. New York
  4. Rochester
  5. Counselor
  6. NPI Profile

IMANI TACUMA WAGSTAFF I
NPI 1578070512
Counselor in Rochester, NY

Active since December 29, 2017
1 MUSTARD ST, ROCHESTER, NY 14609(585) 256-7500 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2021, Dec 29, 2017 (2 updates tracked since 2017).

About Imani Tacuma Wagstaff I NPPES

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

IMANI TACUMA WAGSTAFF I (NPI 1578070512) is an individual counselor in Rochester, New York and active in the NPI registry since December 2017. He maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1578070512
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameIMANI TACUMA WAGSTAFF I
Location Address1 MUSTARD STRochester, NY 14609-6980
Mailing Address1 Mustard StRochester, NY 14609-6980 · (585) 256-7500
Phone(585) 256-7500
Sole ProprietorNo
Enumeration DateDecember 29, 2017
Last NPPES UpdateJanuary 11, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2021
✔ NPI 1578070512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
1 MUSTARD ST, Rochester, NY 14609
Open in Google Maps ↗

Secondary Practice Location 1

Location 11400 Portland Ave Ste 54Rochester, NY 14621-3014 · Phone (585) 470-9224

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.

KATHLEEN MILONNI
Social Worker (Clinical)
1 MUSTARD ST
ROCHESTER, NY 14609
Monroe County (585) 249-7882
JONATHAN DAVID WEAVER
Social Worker
1 MUSTARD ST
ROCHESTER, NY 14609
Monroe County (585) 654-1500
JORDANA GRAHAM LMSW
Social Worker
1 MUSTARD ST
ROCHESTER, NY 14609
Monroe County (585) 481-1041
COURTNEY MARIE CANAVAN
Counselor
1 MUSTARD ST
ROCHESTER, NY 14609
Monroe County (585) 256-7500
MELISSA KICHEFSKI
Social Worker
1 MUSTARD ST
ROCHESTER, NY 14609
Monroe County (585) 256-7500
JOHNSON REMY
Behavior Technician
1 MUSTARD ST
ROCHESTER, NY 14609
Monroe County (585) 208-4039
ROSE MARIE CONTARIO
Peer Specialist
1 MUSTARD ST
ROCHESTER, NY 14609
Monroe County (585) 683-3698
KYRA GREEN
Peer Specialist
1 MUSTARD ST
ROCHESTER, NY 14609
Monroe County (585) 649-3959

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 Imani Wagstaff's NPI number?

The NPI number for Imani Wagstaff is 1578070512. It was assigned to this individual provider in the NPPES registry on December 29, 2017.

Where is Imani Wagstaff located?

Imani Wagstaff practices at 1 Mustard St, Rochester, NY 14609. The listed phone number is (585) 256-7500.

What is Imani Wagstaff's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Imani Wagstaff was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.