Benjamin Meyer, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC 15844 Issued in AZ

Practice address

4700 S Mill Ave Ste 5
Tempe, AZ 85282-6736

Phone

(614) 705-3044

NPI assigned

Jun 11, 2016

Reactivated

Aug 7, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 24, 2024 through Nov 24, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Harbor Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tempe, AZ
  • NPI 1346904364
  NPD Authorized official
• Sonoran Life Solutions, Inc.

  • Professional Counselor
  • Peoria, AZ
  • NPI 1912155367
  NPD (past)

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

{
    "created_epoch": "1465603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1407205248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W CLARENDON AVE UNIT 18A",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133442",
            "telephone_number": "614-705-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 S MILL AVE STE 5",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852826736",
            "telephone_number": "614-705-3044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7702 E Doubletree Ranch Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852582132",
            "country_code": "US",
            "telephone_number": "602-567-7895",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "BENJAMIN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-11",
        "last_updated": "2021-09-01",
        "certification_date": "2021-08-18",
        "deactivation_date": "2019-07-27",
        "reactivation_date": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1901960",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC 15844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036813",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Http://theharborcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Personal/business info",
            "address_1": "4700 S Mill Ave Ste 5",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852826736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Janet R. Messer, PH.D.
• Michael Messer, RBT
• Austin Messick, DPT
• Alyssa Page Messinger
• Metro Foot & Ankle PC
• Letitia Elizabeth Meyer, NP
• Anna Meyers
• Meghan Meyerson, LPC
• Andres Meza
• Michael G Duran LLC

• Mental Health Counselor in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.