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MR. EDWARD OMAR ONTIVEROS LAC
NPI 1457074098
Counselor - Mental Health in Tempe, AZ

Active since September 20, 2022
4801 S LAKESHORE DR STE 106, TEMPE, AZ 85282(480) 525-0058 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Edward Omar Ontiveros Lac NPPES

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

MR. EDWARD OMAR ONTIVEROS LAC (NPI 1457074098) is an individual mental health provider in Tempe, Arizona, licensed in Arizona (LAC-21115) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1457074098
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. EDWARD OMAR ONTIVEROSCredential: LAC
Location Address4801 S LAKESHORE DR STE 106Tempe, AZ 85282-7156
Mailing Address3924 E Minton StPhoenix, AZ 85042-6229 · (602) 821-9386
Phone(480) 525-0058
Sole ProprietorYes
Enumeration DateSeptember 20, 2022
NPPES CertifiedJune 23, 2022
✔ NPI 1457074098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in AZ · LAC-21115
4801 S LAKESHORE DR STE 106, Tempe, AZ 85282
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Other Providers at the Same Location NPPES 17

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

ANDREW STEPHEN AUSI
Counselor (Mental Health)
4801 S LAKESHORE DR STE 106
TEMPE, AZ 85282
Maricopa County (480) 525-0058
TAYLOR CUNHA BRANAGHAN
Counselor
4801 S LAKESHORE DR STE 106
TEMPE, AZ 85282
Maricopa County (480) 525-0058
ANNA JENKINS
Counselor (Mental Health)
4801 S LAKESHORE DR STE 106
TEMPE, AZ 85282
Maricopa County (480) 525-0058
DR. BRIAN NATHAN SILLANPAA
Counselor (Mental Health)
4801 S LAKESHORE DR STE 106
TEMPE, AZ 85282
Maricopa County (480) 525-0058
CLAY CHARLES BOETTCHER
Counselor (Professional)
4801 S LAKESHORE DR STE 106
TEMPE, AZ 85282
Maricopa County (480) 525-0058
DANIEL DEMIR ASKIN
Student in an Organized Health Care Education/Training Program
4801 S LAKESHORE DR STE 106
TEMPE, AZ 85282
Maricopa County (480) 525-0058
OLIVIA LOUGEE
Counselor (Professional)
4801 S LAKESHORE DR STE 106
TEMPE, AZ 85282
Maricopa County (480) 525-0058
ALICIA GECK
Counselor (Professional)
4801 S LAKESHORE DR STE 106
TEMPE, AZ 85282
Maricopa County (480) 525-0058

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 Edward Ontiveros's NPI number?

The NPI number for Edward Ontiveros is 1457074098. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Edward Ontiveros located?

Edward Ontiveros practices at 4801 S Lakeshore Dr Ste 106, Tempe, AZ 85282. The listed phone number is (480) 525-0058.

What is Edward Ontiveros's specialty?

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

When was this NPI record last updated?

The NPPES record for Edward Ontiveros was last updated on September 20, 2022. 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.