Individual provider Active NPI

Ivan Emmanuel Irizarry III, PHD, LPC, NCC

  • Mental Health Counselor
  • Tucson, AZ
National Provider Identifier
1194268953
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1932 W Calle Campana de Plata
Tucson, AZ 85745-1810
Phone
(520) 333-6242
NPI assigned
Nov 28, 2016
Last updated
Jan 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1932 W Calle Campana de Plata
Tucson, AZ 85745-1810

Mailing address

7090 N Oracle Rd Ste 178
PMB 2022
Tucson, AZ 85704-4383
Phone (520) 333-6242

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Sed Tantum Dic Verbo LLC Current Accepting new patients

Locations

7090 N Oracle Rd
Ste 178
Tucson, AZ 85704
Phone (520) 260-2443

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1194268953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7090 N ORACLE RD STE 178",
            "address_2": "PMB 2022",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857044383",
            "telephone_number": "520-333-6242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1932 W CALLE CAMPANA DE PLATA",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857451810",
            "telephone_number": "520-333-6242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "IVAN",
        "middle_name": "EMMANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "PHD, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.