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CONNOR GRUNDY LAC
NPI 1023846136
Counselor - Mental Health in Tucson, AZ

Active since July 22, 2024PECOS Enrolled
2295 W MAGEE RD UNIT 105, TUCSON, AZ 85742(520) 257-1168 Get Directions Write a Review

NPPES record last updated: July 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1023846136
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCONNOR GRUNDYCredential: LAC
Location Address2295 W MAGEE RD UNIT 105Tucson, AZ 85742-4316
Mailing Address2295 W Magee Rd Unit 105Tucson, AZ 85742-4316 · (520) 257-1168
Phone(520) 257-1168
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 22, 2024
NPPES CertifiedJuly 22, 2024
✔ NPI 1023846136 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 AZ · LAC-22306
2295 W MAGEE RD UNIT 105, Tucson, AZ 85742
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.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)

Connor Grundy Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224521901
PECOS Enrollment IDI20251202001026
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 3

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

CAITLIN MARIE O'HANLON
Counselor (Mental Health)
2295 W MAGEE RD UNIT 105
TUCSON, AZ 85742
Pima County (520) 257-1168
GARRET MICHAEL BOLTHOUSE MA, MCFC, LPC, NCC
Counselor
2295 W MAGEE RD UNIT 105
TUCSON, AZ 85742
Pima County (520) 257-1168
MR. DANIEL SCOTT OROZCO LPC, CETP, CCFP, NCC
Counselor (Mental Health)
2295 W MAGEE RD UNIT 105
TUCSON, AZ 85742
Pima County (520) 257-1168

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 enrollment system.

What insurance does Connor Grundy accept?

Health plans from 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.