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BENJAMIN PEDRAZA
NPI 1902429418
Counselor - Professional in Phoenix, AZ

Active since May 19, 2020PECOS Enrolled
3620 E BLANCHE DR, PHOENIX, AZ 85032(602) 821-9154 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, May 19, 2020 (2 updates tracked since 2020).

About Benjamin Pedraza NPPES

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

BENJAMIN PEDRAZA (NPI 1902429418) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-22959) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1902429418
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameBENJAMIN PEDRAZA
Location Address3620 E BLANCHE DRPhoenix, AZ 85032-4603
Mailing Address3620 E Blanche DrPhoenix, AZ 85032-4603 · (602) 821-9154
Phone(602) 821-9154
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 19, 2020
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1902429418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-22959
3620 E BLANCHE DR, Phoenix, AZ 85032
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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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Benjamin Pedraza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941770077
PECOS Enrollment IDI20260529000855
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.

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 Pedraza's NPI number?

The NPI number for Benjamin Pedraza is 1902429418. It was assigned to this individual provider in the NPPES registry on May 19, 2020.

Where is Benjamin Pedraza located?

Benjamin Pedraza practices at 3620 E Blanche Dr, Phoenix, AZ 85032. The listed phone number is (602) 821-9154.

What is Benjamin Pedraza's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Benjamin Pedraza enrolled in Medicare?

Yes. Benjamin Pedraza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Benjamin Pedraza was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.