Active NPI
Sandy Eder, LCPC
- Professional Counselor
- Rolling Meadows, IL
National Provider Identifier
1154564342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180007750
- Practice address
- 3601 Algonquin Rd
Suite 714
Rolling Meadows, IL 60008-3126 - Phone
- (847) 398-2900
- Fax
- (847) 506-9414
- NPI assigned
- Apr 17, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180007750 | IL | Primary |
Addresses
Primary practice location
3601 Algonquin Rd
Suite 714
Rolling Meadows, IL 60008-3126
Mailing address
4028 N Harvard Ave
Arlington Heights, IL 60004-7950
Phone (847) 398-2900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180007750 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1154564342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4028 N HARVARD AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600047950",
"telephone_number": "847-398-2900",
"fax_number": "847-506-9414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 ALGONQUIN RD",
"address_2": "SUITE 714",
"city": "ROLLING MEADOWS",
"state": "IL",
"postal_code": "600083126",
"telephone_number": "847-398-2900",
"fax_number": "847-506-9414"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDER",
"first_name": "SANDY",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-17",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180007750",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rolling Meadows, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.