Ivan A Van Ravenswaay

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-21190 Issued in AZ

Practice address

2755 N Centre Court Dr
Tucson, AZ 85705-4281

Phone

(520) 390-9243

NPI assigned

Aug 15, 2025

Last updated

Aug 15, 2025By 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

Practice roles

Locations

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.

• Steady Psychiatric Care and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Casa Grande, AZ
  • NPI 1124750419
  NPD

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1710863436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 E COTTONWOOD LN STE B4",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "851222517",
            "telephone_number": "928-975-4091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 N CENTRE COURT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857054281",
            "telephone_number": "520-390-9243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN RAVENSWAAY",
        "first_name": "IVAN",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-21190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laila Van Hook
• Mitchell B Van Kalsbeek, MD
• Gretchen A Van Maren, MD
• Alexander Giacomo Van Morren, DO
• Kimberlee Van Orden, MD
• Deborah Kay Van Sant, R.PH.
• Tess Van Schoor, MD
• Colin John Van Wagoner, MD
• Karen Lynne Van Wie, RN MS, PSY-MH NP
• Claire Van Zyl

• Mental Health Counselor in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; 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.