BENJAMIN ERICKSON
NPI 1144104175
Counselor in Glendale, AZ

Active since August 04, 2025
17505 N 79TH AVE STE 407, GLENDALE, AZ 85308(480) 498-7600 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Benjamin Erickson NPPES

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

BENJAMIN ERICKSON (NPI 1144104175) is an individual counselor in Glendale, Arizona, licensed in Arizona (LAC-23649) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1144104175
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameBENJAMIN ERICKSON
Location Address17505 N 79TH AVE STE 407Glendale, AZ 85308-8732
Mailing Address17505 N 79th Ave Ste 407Glendale, AZ 85308-8732
Sole ProprietorYes
Enumeration DateAugust 4, 2025
NPPES CertifiedAugust 3, 2025
NPI 1144104175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in AZ · LAC-23649
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
17505 N 79TH AVE STE 407, Glendale, AZ 85308

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

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.

Physician Assistant
17505 N 79TH AVE STE 407
GLENDALE, AZ 85308
Counselor (Mental Health)
17505 N 79TH AVE STE 407
GLENDALE, AZ 85308
Counselor (Mental Health)
17505 N 79TH AVE STE 407
GLENDALE, AZ 85308

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 Erickson's NPI number?

The NPI number for Benjamin Erickson is 1144104175. It was assigned to this individual provider in the NPPES registry on August 4, 2025.

Where is Benjamin Erickson located?

Benjamin Erickson practices at 17505 N 79th Ave Ste 407, Glendale, AZ 85308. The listed phone number is (480) 498-7600.

What is Benjamin Erickson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Benjamin Erickson was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.