Active NPI
Matthew Graden, LCPC
- Professional Counselor
- Oswego, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180014968
- Practice address
- 1 E Merchants Dr
Suite 300
Oswego, IL 60543 - Phone
- (888) 428-7890
- Fax
- (877) 428-7891
- NPI assigned
- Jan 26, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180014968 | IL | Primary |
Addresses
Primary practice location
1 E Merchants Dr
Suite 300
Oswego, IL 60543
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Phone (630) 428-7890
Other practice location 1
2124 Ogden Ave Ste 301
Aurora, IL 60504-7542
Phone (630) 428-7890
Other practice location 2
2071 N Southport Ave Ste 100
Chicago, IL 60614-4015
Phone (630) 428-7890
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 E Merchants Dr
Suite 300
Oswego, IL 60543
Phone (630) 428-7890
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180014968 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edgewood Clinical Services, P.C. | Current | Accepting new patients | |
| Psychology Specialists LTD | Past | Accepting new patients | |
| Edgewood Clinical Services, P.C. | Past | Accepting new patients |
Locations
4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392
2124 Ogden Ave
Ste 301
Aurora, IL 60504
Phone (331) 227-5496
2948 Artesian Rd
Ste 112
Naperville, IL 60564
Phone (630) 328-0165
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychologist
- Naperville, IL
- NPI 1295914646
-
- Community/Behavioral Health Agency
- Naperville, IL
- NPI 1366784837
-
- Clinical Psychologist
- Bloomington, IL
- NPI 1053368605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762300800000",
"number": "1073229662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 N SCOTTSDALE RD STE 2500",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852517630",
"telephone_number": "630-428-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 E MERCHANTS DR",
"address_2": "SUITE 300",
"city": "OSWEGO",
"state": "IL",
"postal_code": "60543",
"telephone_number": "888-428-7890",
"fax_number": "877-428-7891"
}
],
"practiceLocations": [
{
"address_1": "2124 OGDEN AVE STE 301",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605047542",
"country_code": "US",
"telephone_number": "630-428-7890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2071 N Southport Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606144015",
"country_code": "US",
"telephone_number": "630-428-7890",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRADEN",
"first_name": "MATTHEW",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-01-26",
"last_updated": "2025-11-05",
"certification_date": "2025-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180014968",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.