Individual provider Active NPI

Eddie Pinon Ornelas III

  • Addiction (Substance Use Disorder) Counselor
  • Tucson, AZ
National Provider Identifier
1679518211
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LISAC - 10521 Issued in AZ
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

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140513001846 AZ Practitioner - Clinical Psychologist 7911120217 Reassigns benefits to 1 organization

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
Codac Health Recovery and WellnessGroup PAC ID 6103813811, 27 clinicians

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

LicenseStateTypeSpecialty
LISAC - 10521AZMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness CurrentSince Mar 1, 2014 Accepting new patients
Codac Health, Recovery & Wellness, Inc. CurrentSince Mar 1, 2014 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

  • Direct secure messaging: eddie.ornelas.p1@direct.codachrw.nextgenshare.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.