Active NPI
Eddie Pinon Ornelas III
- Addiction (Substance Use Disorder) Counselor
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LISAC - 10521
- Practice address
- 4901 E 5TH St
Tucson, AZ 85711-2203 - Phone
- (520) 327-4505
- Fax
- (520) 202-1889
- NPI assigned
- Jun 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LISAC - 10521 | AZ | Primary |
Addresses
Primary practice location
4901 E 5TH St
Tucson, AZ 85711-2203
Mailing address
127 S 5TH Ave
Tucson, AZ 85701-2005
Phone (520) 327-4505
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1075 E Fort Lowell Rd
Tucson, AZ 85719-2159
Phone (520) 202-1960
4585 E Speedway Blvd
Tucson, AZ 85712-5309
Phone (520) 327-4505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LISAC - 10521 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Codac Health Recovery and Wellness | Current | Accepting new patients | |
| Codac Health, Recovery & Wellness, Inc. | Current | Accepting new patients | |
| Codac Health Recovery and Wellness | Current | Accepting new patients | |
| Codac Behavioral Health Services of Pima County, Inc. | Past | Accepting new patients |
Locations
4585 E Speedway Blvd
Bldg 1
Tucson, AZ 85712
4901 E 5th St
Tucson, AZ 85711
Phone (520) 318-9222
1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960
1600 N Country Club Rd
Tucson, AZ 85716
Phone (520) 327-1171
127 S 5th Ave
Tucson, AZ 85701
Phone (520) 202-1758
4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359
630 N Alvernon Way
Ste 161
Tucson, AZ 85711
Phone (520) 318-9222
Interoperability endpoints
- eddie.ornelas.p1@direct.codachrw.nextgenshare.com
- eddie.ornelas@mmcodachrw.contexture.medalliesmail.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1033156567
-
- Multi-Specialty Clinic/Center
- Tucson, AZ
- NPI 1649911157
-
- Adult Mental Health Clinic/Center
- Tucson, AZ
- NPI 1801207642
-
- Adult Mental Health Clinic/Center
- Tucson, AZ
- NPI 1447283148
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1679518211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "127 S 5TH AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857012005",
"telephone_number": "520-327-4505",
"fax_number": "520-202-1889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 E 5TH ST",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857112203",
"telephone_number": "520-327-4505",
"fax_number": "520-202-1889"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORNELAS",
"first_name": "EDDIE",
"middle_name": "PINON",
"name_suffix": "III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-18",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LISAC - 10521",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.