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

Ivan Atole III, LPC

Individual provider Professional Counselor · NPI 1154880862

Ivan Atole III, LPC is a Mental Health Counselor in Whiteriver, Arizona. Qualified in 2017, 9 years ago. Practices with Coleman Professional Services, Inc, a 63-clinician group and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
9
Licensed in
CO
In the registry since
2019
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

302 W Ponderosa St
Whiteriver, AZ 85941
Phone: (928) 338-4858
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC.0017086 (CO)

Record details

NPI number1154880862
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorYes
NPI enumeratedMarch 13, 2019
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023
Mailing addressPo Box 1790, Whiteriver, AZ 85941-1790

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Coleman Professional Services, Inc. — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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