Individual provider Active NPI

Gregory Bejar, LAC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1124772512
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LAC-18851 Issued in AZ
Practice address
3509 W Lenihan LN
Tucson, AZ 85742-5146
Phone
(520) 389-2446
NPI assigned
Feb 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LAC-18851 AZ Primary

Addresses

Primary practice location

3509 W Lenihan LN
Tucson, AZ 85742-5146

Mailing address

3509 W Lenihan LN
Tucson, AZ 85742-5146
Phone (520) 389-2446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250523001891 AZ Practitioner - Mental Health Counselor 2163941915 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LAC-18851AZMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways to Connection, LLC Single Specialty CurrentSince Mar 15, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1124772512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 W LENIHAN LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857425146",
            "telephone_number": "520-389-2446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 W LENIHAN LN",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857425146",
            "telephone_number": "520-389-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEJAR",
        "first_name": "GREGORY",
        "name_prefix": "Mr.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-05",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-18851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.