Individual provider Active NPI

Gregg Robert Bagdade, LPC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1932035292
Registry record updated Jun 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-24301 Issued in AZ
Practice address
17235 N 75TH Ave Ste G100
Glendale, AZ 85308-0893
Phone
(602) 224-2277
Fax
(602) 704-2399
NPI assigned
Jun 23, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 180016333 IL
Mental Health Counselor 101YM0800X LPC-24301 AZ Primary

Addresses

Primary practice location

17235 N 75TH Ave Ste G100
Glendale, AZ 85308-0893

Mailing address

17235 N 75TH Ave Ste G100
Glendale, AZ 85308-0893
Phone (602) 224-2277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1782172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782172800000",
    "number": "1932035292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE STE G100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080893",
            "telephone_number": "602-224-2277",
            "fax_number": "602-704-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17235 N 75TH AVE STE G100",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080893",
            "telephone_number": "602-224-2277",
            "fax_number": "602-704-2399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGDADE",
        "first_name": "GREGG",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-23",
        "last_updated": "2026-06-23",
        "certification_date": "2026-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180016333",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-24301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.