Individual provider Active NPI

Evan Benjamin Marcus, MA

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1720520497
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
535 N Wilmot Rd Ste 201
Tucson, AZ 85711-2629
Phone
(520) 694-5517
NPI assigned
Nov 13, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

535 N Wilmot Rd Ste 201
Tucson, AZ 85711-2629

Mailing address

535 N Wilmot Rd Ste 201
Tucson, AZ 85711-2629
Phone (520) 694-5517

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
I20240326003715 AZ Practitioner - Mental Health Counselor 2860839867 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B-Umg Integrated Health Clinic LLCGroup PAC ID 3577831494, 18 clinicians

Practice addresses (Care Compare)

535 N Wilmot Rd
2ND FL
Tucson, AZ 85711-2629
Phone (520) 694-1234

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
B--Umg Integrated Health Clinic, LLC CurrentSince Feb 17, 2024 Accepting new patients
Banner-University Medical Group Past Accepting new patients

Locations

535 N Wilmot Rd
Fl 2
Tucson, AZ 85711
Phone (520) 694-1234

Organizations & group practices 2

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": "1478995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1720520497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112629",
            "telephone_number": "520-694-5517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 N WILMOT RD STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112629",
            "telephone_number": "520-694-5517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCUS",
        "first_name": "EVAN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Mr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-13",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.