NPIMap

Organization Active NPI

Experiencing Eden, LLC

  • Mental Health Counselor
  • New Castle, PA
National Provider Identifier
1215684295
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EXPERIENCING EDEN, LLC
Doing business as
Experiencing Eden, LLC
Practice address
1204 W Washington St
New Castle, PA 16101-1992
Phone
(877) 395-3635
Fax
(724) 498-4333
NPI assigned
Mar 9, 2022
Last updated
Mar 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Authorized official

Name
Tanesha Leah Townsell, LPCNPI 1235289067
Title
Owner
Phone
(877) 395-3635

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1204 W Washington St
New Castle, PA 16101-1992

Mailing address

324 Winter Rd
New Castle, PA 16101-1029
Phone (877) 395-3635

Other names 1

  • Experiencing Eden, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Experiencingeden@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1204 W Washington St
New Castle, PA 16101
Phone (877) 395-3635

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646784000000",
    "number": "1215684295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 WINTER RD",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161011029",
            "telephone_number": "877-395-3635",
            "fax_number": "724-498-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 W WASHINGTON ST",
            "city": "NEW CASTLE",
            "state": "PA",
            "postal_code": "161011992",
            "telephone_number": "877-395-3635",
            "fax_number": "724-498-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERIENCING EDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A",
        "authorized_official_last_name": "TOWNSELL",
        "authorized_official_first_name": "TANESHA",
        "authorized_official_middle_name": "LEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "877-395-3635",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Experiencingeden@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Email",
            "address_1": "324 Winter Rd",
            "city": "New Castle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "161011029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Experiencing Eden, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Castle, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; 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.