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

Mr. Edward Omar Ontiveros, LAC

Individual provider Mental Health Counselor · NPI 1457074098

Mr. Edward Omar Ontiveros, LAC is a Mental Health Counselor in Tempe, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

4801 S Lakeshore Dr Ste 106
Tempe, AZ 85282-7156
Phone: (480) 525-0058
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC-21115 (AZ)

Record details

NPI number1457074098
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedSeptember 20, 2022
Last updated in NPPESSeptember 20, 2022
Certification dateJune 23, 2022

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