Edhealth, LLC.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

EDHEALTH, LLC.

Practice address

110 16TH St Ste 1400
Denver, CO 80202-5275

Phone

(844) 387-2476

Fax

(844) 387-2476

NPI assigned

Jun 3, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Williams Alvarez, ETC.

Title

Associate

Phone

(844) 387-2476

Specialties & licenses 4

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1654214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712275200000",
    "number": "1356080535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 16TH ST STE 1400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 16TH ST STE 1400",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802025275",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 South St",
            "address_purpose": "LOCATION",
            "city": "Hartford",
            "state": "CT",
            "postal_code": "061142935",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 W Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402032047",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5825 Blaine Ave",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "IN",
            "postal_code": "463202312",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462252106",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2424 Zion Rd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424204713",
            "country_code": "US",
            "telephone_number": "844-387-2476",
            "fax_number": "844-387-2476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EDHEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-03",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "WILLIAMS",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "844-387-2476",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ETC."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "1",
            "affiliation": "N",
            "endpointDescription": "1",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "110 16th St Ste 1400",
            "city": "Denver",
            "state": "CO",
            "country_code": "US",
            "postal_code": "802025275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; 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.