Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Pedraza

Individual provider Professional Counselor · NPI 1902429418

Benjamin Pedraza is a Mental Health Counselor in Phoenix, Arizona. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

3620 E Blanche Dr
Phoenix, AZ 85032-4603
Phone: (602) 821-9154
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC-22959 (AZ)

Record details

NPI number1902429418
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 19, 2020
Last updated in NPPESMarch 5, 2026
Certification dateMarch 5, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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