CONNOR GRUNDY LAC
NPI 1023846136
Counselor - Mental Health in Tucson, AZ
About Connor Grundy Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CONNOR GRUNDY LAC (NPI 1023846136) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LAC-22306) and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Connor Grundy Lac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Connor Grundy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tucson, AZ 85741
- Reassigned Medicare billing, Arizona enrollment
- 12 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.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TUCSON, AZ 85742
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 Connor Grundy's NPI number?
The NPI number for Connor Grundy is 1023846136. It was assigned to this individual provider in the NPPES registry on July 22, 2024.
Where is Connor Grundy located?
Connor Grundy practices at 2295 W Magee Rd Unit 105, Tucson, AZ 85742. The listed phone number is (520) 257-1168.
What is Connor Grundy's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Connor Grundy enrolled in Medicare?
Yes. Connor Grundy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Connor Grundy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Connor Grundy reassigns Medicare benefits to Statt Counseling Services, PLLC (Tucson, AZ). 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 Connor Grundy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Connor Grundy accept?
Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Oscar Health Plan, Inc. and UnitedHealthcare list Connor Grundy 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 Connor Grundy was last updated on July 22, 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.
# Connor Grundy, LAC · NPI 1023846136
Mental Health provider in Tucson, Arizona. Individual provider, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1023846136 (Entity type: Individual)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** LAC-22306 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2295 W MAGEE RD UNIT 105, Tucson, AZ 85742-4316
- **Phone:** (520) 257-1168
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Statt Counseling Services, PLLC (NPI 1922542174, Tucson, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1023846136) · Data from the CMS NPPES public registry.