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BRENT D GUNDERSON
NPI 1376022186
Counselor - Mental Health in Tucson, AZ

Active since August 13, 2018PECOS Enrolled
6718 E CALLE LA PAZ UNIT C, TUCSON, AZ 85715(520) 270-2177 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 28, 2020, Aug 13, 2018 (2 updates tracked since 2018).

About Brent D Gunderson NPPES

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

BRENT D GUNDERSON (NPI 1376022186) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LPC-13840) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1376022186
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameBRENT D GUNDERSON
Location Address6718 E CALLE LA PAZ UNIT CTucson, AZ 85715-4093
Mailing Address6718 E Calle La Paz Unit CTucson, AZ 85715-4093 · (520) 270-2177
Phone(520) 270-2177
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateAugust 13, 2018
Last NPPES UpdateOctober 28, 20202 updates tracked since enumeration
NPPES CertifiedOctober 28, 2020
✔ NPI 1376022186 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 · LPC-13840
6718 E CALLE LA PAZ UNIT C, Tucson, AZ 85715
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and more.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)

Brent D Gunderson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8325583446
PECOS Enrollment IDI20240712003796
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

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

MASTERDREAM LLC
Counselor (Professional)
6718 E CALLE LA PAZ UNIT C
TUCSON, AZ 85715
Pima County (520) 222-9965

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 Brent Gunderson's NPI number?

The NPI number for Brent Gunderson is 1376022186. It was assigned to this individual provider in the NPPES registry on August 13, 2018.

Where is Brent Gunderson located?

Brent Gunderson practices at 6718 E Calle La Paz Unit C, Tucson, AZ 85715. The listed phone number is (520) 270-2177.

What is Brent Gunderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Brent Gunderson enrolled in Medicare?

Yes. Brent Gunderson is registered in the Medicare PECOS enrollment system.

What insurance does Brent Gunderson accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Brent Gunderson 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 Brent Gunderson was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.