Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Benton Wagner

Individual provider Mental Health Counselor · NPI 1346668852

Benton Wagner is a Mental Health Counselor in Hailey, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2014
Specialties on file
2

Practice location Address checks out

418 N River St
Hailey, ID 83333-8513
Phone: (612) 247-9768
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LCPC-6760 (ID)
Professional Counselor Taxonomy 101YP2500X · Licence LCPC-6760 (ID)

Record details

NPI number1346668852
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 1, 2014
Last updated in NPPESSeptember 29, 2026
Certification dateSeptember 29, 2026

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