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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: July 19, 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
Phone(480) 498-7600
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
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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.

JESSICA DRAPER PA-C
Physician Assistant
17505 N 79TH AVE STE 407
GLENDALE, AZ 85308
Maricopa County (623) 321-2221
MADISON MONTER MA, LAC
Counselor (Mental Health)
17505 N 79TH AVE STE 407
GLENDALE, AZ 85308
Maricopa County (480) 498-7600
HEATHER COLTON-PRITT LAC
Counselor (Mental Health)
17505 N 79TH AVE STE 407
GLENDALE, AZ 85308
Maricopa County (480) 498-7600

Frequently Asked Questions

What is Benjamin Erickson's NPI number?

The NPI number assigned to this healthcare provider is 1144104175, enumerated as an "individual" on August 04, 2025.

Where is the provider located?

The provider is located at 17505 N 79TH AVE STE 407 GLENDALE, AZ 85308 and the phone number is (480) 498-7600.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.