MR. RAFAEL ALEXANDER IBARRA APC
NPI 1134426059
Counselor - Mental Health in Provo, UT

Active since February 14, 2011PECOS EnrolledAccepts Medicare Assignment
750 N FREEDOM BLVD STE 300, PROVO, UT 84601(801) 373-4760 Get Directions Write a Review

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Rafael Alexander Ibarra Apc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RAFAEL ALEXANDER IBARRA APC (NPI 1134426059) is an individual mental health provider in Provo, Utah, licensed in Utah (7894027-6004) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Murray, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1134426059
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. RAFAEL ALEXANDER IBARRACredential: APC
Location Address750 N FREEDOM BLVD STE 300Provo, UT 84601-1690
Mailing Address750 N Freedom Blvd Ste 300Provo, UT 84601-1690 · (801) 373-4760
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 14, 2011
Last NPPES UpdateApril 26, 2023
NPPES CertifiedApril 26, 2023
NPI 1134426059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in UT · 7894027-6004
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 7894027-6009 (UT)
750 N FREEDOM BLVD STE 300, Provo, UT 84601

Secondary Practice Location 1

Location 15250 Commerce Dr, Suite 250Murray, UT 84107-7926 · Phone (801) 261-3500

Other Identifiers 1

Medicaid1356357115UT

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Rafael Alexander Ibarra Apc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5496107534
PECOS Enrollment IDI20240115000208
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine (Addiction Medicine)
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Peer Specialist
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Case Manager/Care Coordinator
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Social Worker (Clinical)
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Case Manager/Care Coordinator
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Student in an Organized Health Care Education/Training Program
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Peer Specialist
750 N FREEDOM BLVD STE 300
PROVO, UT 84601
Counselor (Mental Health)
750 N FREEDOM BLVD STE 300
PROVO, UT 84601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Ibarra's NPI number?

The NPI number for Rafael Ibarra is 1134426059. It was assigned to this individual provider in the NPPES registry on February 14, 2011.

Where is Rafael Ibarra located?

Rafael Ibarra practices at 750 N Freedom Blvd Ste 300, Provo, UT 84601. The listed phone number is (801) 373-4760.

What is Rafael Ibarra's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Rafael Ibarra enrolled in Medicare?

Yes. Rafael Ibarra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rafael Ibarra accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Rafael Ibarra as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rafael Ibarra was last updated on April 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.