Out of Eden LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

OUT OF EDEN LLC

Doing business as

Eden Holistic Counseling Services

Practice address

1215 Jefferson St Unit 1
Lynchburg, VA 24504-1857

Phone

(434) 515-0233

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Kendria Eden Johnson, LPCNPI 1073136925

Title

Owner

Phone

(276) 202-5387

Specialties & licenses 1

Addresses

Other names 1

• Eden Holistic Counseling Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kendria Eden Johnson, LPC

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1073136925
  NPD Authorized official

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1477302958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 E OTTER RIDGE DR",
            "city": "GOODE",
            "state": "VA",
            "postal_code": "245562006",
            "telephone_number": "276-202-5387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 JEFFERSON ST UNIT 1",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245041857",
            "telephone_number": "434-515-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT OF EDEN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KENDRIA",
        "authorized_official_middle_name": "EDEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "276-202-5387",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Holistic Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Ortler, M.A.
• Margaret Osborne, D C.
• Melissa Anne Oswald
• Amanda Rae Otey-Hall
• Danielle P Ott
• Lavanya Monique Outland, LPC
• Li Ouyang, MD
• Andrew Joseph Overbey, FNP-BC
• Kristen Swope Overbey, PT, DPT
• Timothy P. Overby, DMD LTD

• Professional Counselor in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.