Individual provider Active NPI

Edward Mitchell Eaton, LMHC

  • Mental Health Counselor
  • Oviedo, FL
National Provider Identifier
1497866677
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15340 Issued in FL
Practice address
15 Windsormere Way Ste 300
Oviedo, FL 32765-6507
Phone
(407) 605-2030
Fax
(888) 589-7347
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH15340 FL Primary

Addresses

Primary practice location

15 Windsormere Way Ste 300
Oviedo, FL 32765-6507

Mailing address

PO Box 622199
Oviedo, FL 32762-2199
Phone (407) 605-2030

Other practice location 1

4110 Pacific Ave Ste 202
Forest Grove, OR 97116-2275
Phone (503) 357-9548 ext. 524

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

State licenses

LicenseStateTypeSpecialty
MH15340FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Dialogue LLC Mental Health PastSince Jul 24, 2022 Accepting new patients

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.

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": "1658361600000",
    "number": "1497866677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 622199",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327622199",
            "telephone_number": "407-605-2030",
            "fax_number": "888-589-7347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 WINDSORMERE WAY STE 300",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327656507",
            "telephone_number": "407-605-2030",
            "fax_number": "888-589-7347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4110 Pacific Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Forest Grove",
            "state": "OR",
            "postal_code": "971162275",
            "country_code": "US",
            "telephone_number": "503-357-9548 x524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EATON",
        "first_name": "EDWARD",
        "middle_name": "MITCHELL",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

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