Active NPI
Grace Eidman
- Professional Counselor
- Arcata, CA
National Provider Identifier
1275401200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15438
- Practice address
- 770 11TH St
Arcata, CA 95521-5838 - Phone
- (707) 267-7931
- NPI assigned
- Oct 29, 2025
- Sex
- Female
- 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 | 15438 | CA | Primary |
Addresses
Primary practice location
770 11TH St
Arcata, CA 95521-5838
Mailing address
1610 3Rd St Apt 6
Eureka, CA 95501-0758
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Wellness Incorporated | Current | Accepting new patients |
Locations
770 11th St
Arcata, CA 95521
Phone (707) 267-7931
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 and National Provider Directory roles.
-
- Clinic/Center
- Arcata, CA
- NPI 1891556585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761696000000",
"number": "1275401200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1610 3RD ST APT 6",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 11TH ST",
"city": "ARCATA",
"state": "CA",
"postal_code": "955215838",
"telephone_number": "707-267-7931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EIDMAN",
"first_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-29",
"last_updated": "2025-10-29",
"certification_date": "2025-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "15438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arcata, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.