Individual provider Active NPI

Van Eden Cave, MC, LPC

  • Mental Health Counselor
  • Glendale, AZ
National Provider Identifier
1063585446
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC-2363 Issued in AZ
Practice address
7075 W Bell Rd
Suite 3
Glendale, AZ 85308-8546
Phone
(602) 485-1245
Fax
(623) 878-0233
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC-2363 AZ Primary

Addresses

Primary practice location

7075 W Bell Rd
Suite 3
Glendale, AZ 85308-8546

Mailing address

20165 N 67TH Ave
Suite 122a PMB 144
Glendale, AZ 85308-7002
Phone (602) 485-1245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC-2363AZMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063585446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20165 N 67TH AVE",
            "address_2": "SUITE 122A PMB 144",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087002",
            "telephone_number": "602-485-1245",
            "fax_number": "623-878-0233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7075 W BELL RD",
            "address_2": "SUITE 3",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853088546",
            "telephone_number": "602-485-1245",
            "fax_number": "623-878-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVE",
        "first_name": "VAN",
        "middle_name": "EDEN",
        "credential": "MC, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LPC-2363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.