BENJAMIN KENT WAGNER LPC-MHSP
NPI 1255163283
Counselor - Mental Health in Kingsport, TN
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Benjamin Kent Wagner Lpc-mhsp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Benjamin Wagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Kingsport, TN 37663
- Reassigned Medicare billing, Tennessee enrollment
- 6 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.
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.
Which organization bills Medicare for Benjamin Wagner's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Wagner reassigns Medicare benefits to Tri-Star Counseling, LLC (Kingsport, TN). The 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 Benjamin Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Wagner accept?
Health plans from BlueCross BlueShield of Tennessee, Cigna Healthcare, 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.
# Benjamin Kent Wagner, LPC-MHSP · NPI 1255163283
Mental Health provider in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since August 19, 2024.
## Identity
- **NPI:** 1255163283 (Entity type: Individual)
- **Enumerated:** August 19, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 7325 (Tennessee)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4012 FORT HENRY DR, Kingsport, TN 37663-2028
- **Phone:** (423) 430-9687
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Tri-Star Counseling, LLC (NPI 1184376741, Kingsport, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** August 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1255163283) · Data from the CMS NPPES public registry.