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IVAN A VAN RAVENSWAAY
NPI 1710863436
Counselor - Mental Health in Tucson, AZ

Active since August 15, 2025
2755 N CENTRE COURT DR, TUCSON, AZ 85705(520) 390-9243 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ivan A Van Ravenswaay NPPES

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

IVAN A VAN RAVENSWAAY (NPI 1710863436) is an individual mental health provider in Tucson, Arizona, licensed in Arizona (LAC-21190) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1710863436
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameIVAN A VAN RAVENSWAAY
Location Address2755 N CENTRE COURT DRTucson, AZ 85705-4281
Mailing Address317 E Cottonwood Ln Ste B4Casa Grande, AZ 85122-2517 · (928) 975-4091
Phone(520) 390-9243
Sole ProprietorYes
Enumeration DateAugust 15, 2025
NPPES CertifiedAugust 15, 2025
✔ NPI 1710863436 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-21190
2755 N CENTRE COURT DR, Tucson, AZ 85705
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ivan Van Ravenswaay's NPI number?

The NPI number for Ivan Van Ravenswaay is 1710863436. It was assigned to this individual provider in the NPPES registry on August 15, 2025.

Where is Ivan Van Ravenswaay located?

Ivan Van Ravenswaay practices at 2755 N Centre Court Dr, Tucson, AZ 85705. The listed phone number is (520) 390-9243.

What is Ivan Van Ravenswaay'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 Ivan Van Ravenswaay was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.