Larry Corrales
Individual provider Active NPI Professional Counselor · Douglas, AZ
NPI 1154080125 · NPPES record last updated Sep 17, 2025
Key facts
- NPI
- 1154080125
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- LPC-20463 (AZ)
- Practice address
- 1100 N F Ave
Douglas, AZ 85607-1919 - Phone
- (520) 364-3285
- Fax
- (520) 364-3378
- NPI assigned
- Dec 16, 2021
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 20
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Chiricahua Community Health Centers Inc
Practice addresses (Care Compare)
1100 N F Ave
Douglas, AZ 85607-1919
Phone (502) 364-3285
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240701003821 | AZ | Practitioner - Mental Health Counselor | 3173067154 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC-20463 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Intervention Associates, Inc | Current |
Accepting new patients | |
| Chiricahua Community Health Centers, Inc. | Current |
Accepting new patients | |
| Community Intervention Assciates, Inc | Current |
Accepting new patients | |
| Community Intervention Associates, Inc. | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current | Accepting new patients | |
| Chiricahua Community Health Centers, Inc | Current |
Accepting new patients | |
| Southeastern Arizona Behavioral Health Service, Inc | Past |
Accepting new patients |
Locations
335 S Ocotillo St
Benson, AZ 85602
Phone (520) 326-4811
108 Arizona St
Bisbee, AZ 85603
Phone (520) 432-3309
815 E 15th St
Douglas, AZ 85607
Phone (520) 364-5437
1111 N F Ave
Douglas, AZ 85607
Phone (520) 364-6860
1151 E 16th St
Douglas, AZ 85607
Phone (520) 364-5437
1205 N F Ave
Douglas, AZ 85607
Phone (520) 364-6852
1701 N Douglas Ave
Douglas, AZ 85607
Phone (520) 364-1286
1100 N F Ave
Douglas, AZ 85607
Phone (520) 364-3285
10566 N Highway 191
Elfrida, AZ 85610
Phone (520) 642-2222
1516 S Ocotillo Ave
Parker, AZ 85344
Phone (928) 669-5319
77 Calle Portal
Ste C240
Sierra Vista, AZ 85635
Phone (520) 335-6271
77 Calle Portal
Ste A140
Sierra Vista, AZ 85635
Phone (520) 515-8669
155 Calle Portal
Ste 300
Sierra Vista, AZ 85635
Phone (520) 458-6331
155 Calle Portal
Ste 700
Sierra Vista, AZ 85635
Phone (520) 459-0203
1773 W Saint Marys Rd
Ste 102
Tucson, AZ 85745
Phone (520) 622-8357
2375 N Wyatt Dr
Ste 103
Tucson, AZ 85712
Phone (520) 622-8357
251 W Rex Allen Dr
Willcox, AZ 85643
2851 S Avenue B
Bldg 4
Yuma, AZ 85364
Phone (928) 919-2436
Interoperability endpoints
- larry.corrales.p1@direct.cchci.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC-20463 | AZ | Yes |
Addresses
Primary practice location
1100 N F Ave
Douglas, AZ 85607-1919
Mailing address
1205 N F Ave
Douglas, AZ 85607-1920
Phone (520) 364-1429
Other providers in Douglas, AZ
- Community Healthcare of Douglas Inc.
- Community Intervention Assciates, Inc
- Copper Queen Medical Associates Douglas
- Corazon Inc.
- Corazon Inc.
- Suzanne Marie Crase
- Jessica Lynn Crewse
- Cypress Inn Assisted Living Center
- Sara E Davidson
- Lisa Irish Deese
All providers in Douglas, AZ · Professional Counselor in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.