Ian Tornatore, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2104006 Issued in AR

Practice address

2 E Cleburn St
Fayetteville, AR 72701-2001

Phone

(479) 222-0896

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1134701063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 E CLEBURN ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 E CLEBURN ST",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012001",
            "telephone_number": "479-222-0896"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6815 Isaacs Orchard Rd",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727626324",
            "country_code": "US",
            "telephone_number": "479-222-0896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORNATORE",
        "first_name": "IAN",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2104006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesse Tompkins
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• Mary Toner, PH.D., CCC-SLP
• Susan Elaine Tonymon, LCSW
• Amy L Torchinsky, LCSW
• Kiley Torres, LPC
• Rebecca Lane Torres
• Total Renal Care Inc (Fayetteville Dialysis)
• Total Wound Care of Arkansas,LLC
• Orsolya Toth

• Mental Health Counselor in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.