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BENTON WAGNER
NPI 1346668852
Counselor - Mental Health in Hailey, ID

Active since April 01, 2014
418 N RIVER ST, HAILEY, ID 83333(612) 247-9768 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2024, Jun 6, 2023, Sep 27, 2021 and 2 more (5 updates tracked since 2019).

About Benton Wagner NPPES

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

BENTON WAGNER (NPI 1346668852) is an individual mental health provider in Hailey, Idaho, licensed in Idaho (LCPC-6760) and active in the NPI registry since April 2014.

NPPES Registry Identity

NPI1346668852
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENTON WAGNER
Location Address418 N RIVER STHailey, ID 83333-8513
Mailing AddressPo Box 424Fairfield, ID 83327-0424 · (612) 247-9768
Phone(612) 247-9768
Sole ProprietorYes
Enumeration DateApril 1, 2014
Last NPPES UpdateMarch 5, 20245 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1346668852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · LCPC-6760
418 N RIVER ST, Hailey, ID 83333
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

ERIN N. SWEENEY L.M., C.P.M.
Midwife
418 N RIVER ST
HAILEY, ID 83333
Blaine County (208) 788-4033

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 Benton Wagner's NPI number?

The NPI number for Benton Wagner is 1346668852. It was assigned to this individual provider in the NPPES registry on April 1, 2014.

Where is Benton Wagner located?

Benton Wagner practices at 418 N River St, Hailey, ID 83333. The listed phone number is (612) 247-9768.

What is Benton Wagner's specialty?

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

What insurance does Benton Wagner accept?

Health plans from Moda Health Plan, Inc. list Benton 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 Benton Wagner was last updated on March 5, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.