Individual provider Active NPI

Brenton Wejrowski, LPC

  • Professional Counselor
  • Tempe, AZ
National Provider Identifier
1619616554
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-22788 Issued in AZ
Practice address
2210 S Mill Ave Ste 7C
Tempe, AZ 85282-2153
Phone
(480) 400-9615
NPI assigned
May 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-22788 AZ Primary

Addresses

Primary practice location

2210 S Mill Ave Ste 7C
Tempe, AZ 85282-2153

Mailing address

2210 S Mill Ave Ste 7C
Tempe, AZ 85282-2153
Phone (480) 400-9615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • 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
I20240409001180 AZ Practitioner - Mental Health Counselor 1557709607 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Denova Collaborative Health, LLC Professional CurrentSince Mar 27, 2024 Accepting new patients
Denova Collaborative Health, LLC Current Accepting new patients
Tempe Trails LLC Current Accepting new patients
Denova Collaborative Health, LLC CurrentSince Mar 27, 2024 Accepting new patients

Locations

3101 N Central Ave
Ste 550
Phoenix, AZ 85012

3101 N Central Ave
Ste 500
Phoenix, AZ 85012

77 E Columbus Ave
Ste 210
Phoenix, AZ 85012

3330 N 2nd St
Ste 601
Phoenix, AZ 85012
Phone (602) 234-3444

3033 N Central Ave
Ste 700
Phoenix, AZ 85012
Phone (602) 281-7289

2210 S Mill Ave
Ste 7C
Tempe, AZ 85282
Phone (480) 400-9615

Organizations & group practices 4

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1619616554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2210 S MILL AVE STE 7C",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822153",
            "telephone_number": "480-400-9615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 S MILL AVE STE 7C",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852822153",
            "telephone_number": "480-400-9615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEJROWSKI",
        "first_name": "BRENTON",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-31",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-22788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

Verify at the official NPI Registry.