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Active NPI 1154880862 Individual Practitioner Male Practitioner

Ivan Atole , LPC

Counselor - Professional • Whiteriver, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Ivan Atole, LPC is a certified Counselor - Professional practicing in Whiteriver, AZ. With approximately 9 years of clinical experience since completing medical education in 2017, Ivan Atole delivers high-quality medical care to the local community at 302 W PONDEROSA ST,.

Ivan Atole is affiliated with Coleman Professional Services, Inc. and accepts Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

302 W Ponderosa St,

Whiteriver, AZ 85941

Telephone 9283384858
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Whiteriver, AZ

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
9 Yrs -7.0 yrs vs City Avg
City Avg: 16.0 Yrs
State Avg: 15.4 Yrs
Regional Practice Density
4 Specialists

Practicing in Whiteriver, AZ (3051 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Atole (9 Years) 9 Yrs
Whiteriver Specialty Average (16.0 Years) 16.0 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-02-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License CO LPC.0017086

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
VJ546645 (OH)

Hospital & Practice Group Affiliations

Coleman Professional Services, Inc.

775 E Eliza St, Kenton, OH 433261486

Phone: 4196752243

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Aura Ortiz , MA, RMHCI

Counselor - Mental Health

NPI 1811445307

Master of Arts, RMHCI

Donna Stevens , RN

Counselor - Professional

NPI 1891243382

Registered Nurse

Jamie Baha , MA, LAC

Counselor - Professional

NPI 1912456732

Master of Arts, Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
👤
Provider Name / Credentials Updated February 06, 2023

Recorded as IVAN ATOLE, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 06, 2023

Counselor (License #LPC.0017086 in CO)

NPI Profile Active March 13, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2019

Registered at 302 W PONDEROSA ST,, WHITERIVER, AZ 85941 (Tel: 9283384858)

📍
Updated Business Mailing Address March 13, 2019

Registered at PO BOX 1790, WHITERIVER, AZ 859411790

👤
Provider Name / Credentials Updated March 13, 2019

Recorded as IVAN ATOLE, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2019

Counselor (License #0016644 in CO)

🟢
Initial NPI Registration & Enumeration March 13, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1154880862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2019
Last Update: February 06, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 1790

Whiteriver, AZ 859411790

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.