Active NPI
Edward Mitchell Eaton, LMHC
- Mental Health Counselor
- Oviedo, FL
National Provider Identifier
1497866677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15340
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH15340 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Dialogue LLC | Mental Health | Past | 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.
-
- Mental Health Counselor
- Oviedo, FL
- NPI 1356845226
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.