Individual provider Active NPI

Eduardo Juarez, MA, LPC

  • Professional Counselor
  • Lansdale, PA
National Provider Identifier
1376654335
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC004248 Issued in PA
Practice address
280 Pennbrook Pkwy Ste 208
Lansdale, PA 19446-3843
Phone
(267) 217-7065
Fax
(267) 217-7607
NPI assigned
Aug 31, 2006
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC004248 PA
Professional Counselor 101YP2500X PC004248 PA Primary

Addresses

Primary practice location

280 Pennbrook Pkwy Ste 208
Lansdale, PA 19446-3843

Mailing address

280 Pennbrook Pkwy Ste 208
Lansdale, PA 19446-3843
Phone (267) 217-7065

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC004248PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arbol Professional Counseling, LLC Professional CurrentSince Aug 25, 2024 Accepting new patients
Growth Opportunity Center Past Accepting new patients

Locations

280 Pennbrook Pkwy
Lansdale, PA 19446
Phone (215) 643-1811

280 Pennbrook Pkwy
Ste 208
Lansdale, PA 19446
Phone (267) 217-7065

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1376654335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PENNBROOK PKWY STE 208",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463843",
            "telephone_number": "267-217-7065",
            "fax_number": "267-217-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PENNBROOK PKWY STE 208",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194463843",
            "telephone_number": "267-217-7065",
            "fax_number": "267-217-7607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUAREZ",
        "first_name": "EDUARDO",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC004248",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.