Active NPI
Natalie Eden, LPC, LCPC
- Professional Counselor
- Warren, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180.009760
- Practice address
- 315 2ND Ave Ste 207
Warren, PA 16365-2439 - Phone
- (847) 341-8019
- NPI assigned
- Jan 6, 2019
- Last updated
- Jan 6, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | PC008572 | PA | |
| Professional Counselor | 101YP2500X | 180.009760 | IL | Primary |
Addresses
Primary practice location
315 2ND Ave Ste 207
Warren, PA 16365-2439
Mailing address
12 Crescent Park
Warren, PA 16365-2217
Phone (847) 341-8019
Other practice location 1
564 W Randolph St Fl 2
Chicago, IL 60661-2219
Phone (847) 341-8019
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 E Superior St
Suite 306
Chicago, IL 60611-2595
Phone (312) 754-9404
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PC008572 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarity Clinic PLLC | Current | Accepting new patients |
Locations
1 E Superior St
Ste 306
Chicago, IL 60611
Phone (312) 754-9404
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chicago, IL
- NPI 1063803856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546732800000",
"number": "1073086757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CRESCENT PARK",
"city": "WARREN",
"state": "PA",
"postal_code": "163652217",
"telephone_number": "847-341-8019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 2ND AVE STE 207",
"city": "WARREN",
"state": "PA",
"postal_code": "163652439",
"telephone_number": "847-341-8019"
}
],
"practiceLocations": [
{
"address_1": "564 W Randolph St Fl 2",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606612219",
"country_code": "US",
"telephone_number": "847-341-8019",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDEN",
"first_name": "NATALIE",
"credential": "LPC, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-06",
"last_updated": "2019-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC008572",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warren, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.