Ivan Atole III, LPC/LPCC
NPI 1154880862ActiveIndividual· Counselor, Professional· Whiteriver, AZ
Counselor, Professional (LPC/LPCC) with Coleman Professional Services, Inc., practicing in Whiteriver, Arizona. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1154880862 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC/LPCC |
| Sole proprietor | Yes |
| NPI issued | Mar 13, 2019 |
| Last updated in NPPES | Aug 27, 2026 |
| Certified by provider | Aug 27, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC.0017086 | CO |
| Counselor, Professional | 101YP2500X | E.2404839-SUPV | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Coleman Professional Services, Inc.Kent, OH · 68 clinicians
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