BENJAMIN WAGNER
NPI 1982311056
Counselor - Mental Health in Edmond, OK

Active since October 28, 2022PECOS Enrolled
13707 FAIRHILL AVE, EDMOND, OK 73013(405) 412-3494 Get Directions Write a Review

NPPES record last updated: October 28, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Benjamin Wagner NPPES

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

BENJAMIN WAGNER (NPI 1982311056) is an individual mental health provider in Edmond, Oklahoma, licensed in Oklahoma (LPCCANDIDATE11099) and active in the NPI registry since October 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1982311056
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBENJAMIN WAGNER
Location Address13707 FAIRHILL AVEEdmond, OK 73013-1946
Mailing Address13707 Fairhill AveEdmond, OK 73013-1946 · (405) 412-3494
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 28, 2022
NPPES CertifiedOctober 28, 2022
NPI 1982311056 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 OK · LPCCANDIDATE11099
13707 FAIRHILL AVE, Edmond, OK 73013

Other Identifiers 1

OtherLPCCANDIDATE11099OK · License Board

Accepted 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 Wagner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224544283
PECOS Enrollment IDI20250717004385
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.

Other Providers at the Same Location NPPES 20

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

Counselor
13707 FAIRHILL AVE
EDMOND, OK 73013
Community/Behavioral Health
13707 FAIRHILL AVE
OKLAHOMA CITY, OK 73013
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Counselor
13707 FAIRHILL AVE
EDMOND, OK 73013
Clinic/Center (Primary Care)
13707 FAIRHILL AVE
EDMOND, OK 73013
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Counselor (Mental Health)
13707 FAIRHILL AVE
EDMOND, OK 73013
Peer Specialist
13707 FAIRHILL AVE
EDMOND, OK 73013

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 1982311056. It was assigned to this individual provider in the NPPES registry on October 28, 2022.

Where is Benjamin Wagner located?

Benjamin Wagner practices at 13707 Fairhill Ave, Edmond, OK 73013. The listed phone number is (405) 412-3494.

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 Blue Cross and Blue Shield of Oklahoma and Medica 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 October 28, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.