BENJAMIN PEDRAZA
NPI 1902429418
Counselor - Professional in Phoenix, AZ

Q: 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.

Q: What is Benjamin Pedraza's specialty?

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

Q: 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 7 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.

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: October 18, 2026.

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

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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Benjamin Pedraza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thrive Counseling LLC

1,861 mi

Mental Health

1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504

Reassigned Medicare billing, Arizona enrollment
33 clinicians in this Medicare group

NPI 1215181300 (855) 284-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organization bills Medicare for Benjamin Pedraza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Pedraza reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Pedraza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Benjamin Pedraza accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Benjamin Pedraza 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 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 7 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.