Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelli Wagner, LPC

Individual provider Mental Health Counselor · NPI 1306604343

Kelli Wagner, LPC is a Mental Health Counselor in Goodyear, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

15655 W Roosevelt St Ste 224
Goodyear, AZ 85338-9306
Phone: (928) 683-1720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC-20244 (AZ)

Record details

NPI number1306604343
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address15655 W Roosevelt St Ste 224, Goodyear, AZ 85338-9306

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