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BENJAMIN KENT WAGNER LPC-MHSP
NPI 1255163283
Counselor - Mental Health in Kingsport, TN

Active since August 19, 2024PECOS Enrolled
4012 FORT HENRY DR, KINGSPORT, TN 37663(423) 430-9687 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Benjamin Kent Wagner Lpc-mhsp NPPES

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

BENJAMIN KENT WAGNER LPC-MHSP (NPI 1255163283) is an individual mental health provider in Kingsport, Tennessee, licensed in Tennessee (7325) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255163283
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENJAMIN KENT WAGNERCredential: LPC-MHSP
Location Address4012 FORT HENRY DRKingsport, TN 37663-2028
Mailing Address1216 Seminole Dr Apt 5Johnson City, TN 37604-7154 · (423) 470-4683
Phone(423) 430-9687
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 18, 2024
✔ NPI 1255163283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TN · 7325
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 7325
4012 FORT HENRY DR, Kingsport, TN 37663
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Kent Wagner Lpc-mhsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6103357900
PECOS Enrollment IDI20241003003396
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.

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 Benjamin Wagner's NPI number?

The NPI number for Benjamin Wagner is 1255163283. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Benjamin Wagner located?

Benjamin Wagner practices at 4012 Fort Henry Dr, Kingsport, TN 37663. The listed phone number is (423) 430-9687.

What is Benjamin Wagner's specialty?

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

Is Benjamin Wagner enrolled in Medicare?

Yes. Benjamin Wagner is registered in the Medicare PECOS enrollment system.

What insurance does Benjamin Wagner accept?

Health plans from BlueCross BlueShield of Tennessee, Oscar Insurance Company and UnitedHealthcare list Benjamin 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 Benjamin Wagner was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.