Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Eddie Pinon Ornelas III

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679518211

Eddie Pinon Ornelas III is a Clinical Psychologist in Tucson, Arizona. Qualified in 2006, 20 years ago. Practices with Codac Health Recovery and Wellness, a 28-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
20
Licensed in
AZ
In the registry since
2006
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Practice location Address checks out

4901 E 5th St
Tucson, AZ 85711-2203
Phone: (520) 327-4505
Fax: (520) 202-1889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence LISAC - 10521 (AZ)

Record details

NPI number1679518211
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 18, 2006
Last updated in NPPESJuly 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Codac Health Recovery And Wellness — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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