CORILYN ASHLEY WAGNER
NPI 1831028174
Counselor - Professional in Saint Paul, MN

Active since May 14, 2026
1129 GRAND AVE, SAINT PAUL, MN 55105(612) 619-7611(651) 964-4748 Get Directions Write a Review

NPPES record last updated: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Corilyn Ashley Wagner NPPES

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

CORILYN ASHLEY WAGNER (NPI 1831028174) is an individual professional provider in Saint Paul, Minnesota, licensed in Minnesota (5588) and active in the NPI registry since May 2026. She maintains a secondary practice location in Saint Paul.

NPPES Registry Identity

NPI1831028174
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCORILYN ASHLEY WAGNER
Location Address1129 GRAND AVESaint Paul, MN 55105-2629
Mailing Address1129 Grand AveSaint Paul, MN 55105-2629 · (651) 641-0177 · Fax (651) 641-8635
Fax(651) 964-4748
Sole ProprietorYes
Enumeration DateMay 14, 2026
NPPES CertifiedMay 14, 2026
NPI 1831028174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in MN · 5588
1129 GRAND AVE, Saint Paul, MN 55105

Secondary Practice Location 1

Location 11205 Grand AveSaint Paul, MN 55105-2634 · Phone (612) 619-7611 · Fax (651) 964-4748

Other Providers at the Same Location NPPES 7

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

Social Worker (Clinical)
1129 GRAND AVE
SAINT PAUL, MN 55105
Marriage & Family Therapist
1129 GRAND AVE
SAINT PAUL, MN 55105
Marriage & Family Therapist
1129 GRAND AVE
SAINT PAUL, MN 55105
Marriage & Family Therapist
1129 GRAND AVE
SAINT PAUL, MN 55105
Counselor (Mental Health)
1129 GRAND AVE
SAINT PAUL, MN 55105
Psychologist (Counseling)
1129 GRAND AVE
SAINT PAUL, MN 55105
Marriage & Family Therapist
1129 GRAND AVE
SAINT PAUL, MN 55105

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 Corilyn Wagner's NPI number?

The NPI number for Corilyn Wagner is 1831028174. It was assigned to this individual provider in the NPPES registry on May 14, 2026.

Where is Corilyn Wagner located?

Corilyn Wagner practices at 1129 Grand Ave, Saint Paul, MN 55105. The listed phone number is (612) 619-7611.

What is Corilyn Wagner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Corilyn Wagner was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.