Individual provider Active NPI

Eden M Matthews, LPC, LMHC, CAP, ACAP

  • Professional Counselor
  • Foley, AL
National Provider Identifier
1598818544
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2967 Issued in AL
Practice address
307 S McKenzie St Ste 111
Foley, AL 36535-1947
Phone
(251) 269-5936
Fax
(251) 974-3113
NPI assigned
Jan 20, 2007
Last updated
Mar 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2967 AL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 3205 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X 1114 AL
Mental Health Counselor 101YM0800X MH 10898 FL

Addresses

Primary practice location

307 S McKenzie St Ste 111
Foley, AL 36535-1947

Mailing address

PO Box 941
Foley, AL 36536-0941
Phone (251) 269-5936

Other identifiers 1

IdentifierTypeStateIssuer
360310501MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240209002885 AL Practitioner - Mental Health Counselor 8527232347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1114ALMDAddiction (Substance Use Disorder) Counselor
CAP 3205FLMDAddiction (Substance Use Disorder) Counselor
MH 10898FLMDMental Health Counselor
2967ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Marjorie Ann C Robinson Professional CurrentSince Aug 1, 2021 Accepting new patients
Sunil Gupta MD LLC Past Accepting new patients
Verlee V Young LCSW Acsw Pip LLC Past Accepting new patients

Locations

805 N McKenzie St
Foley, AL 36535
Phone (251) 269-5936

Organizations & group practices 3

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": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1598818544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 941",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365360941",
            "telephone_number": "251-269-5936",
            "fax_number": "251-974-3113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S MCKENZIE ST STE 111",
            "city": "FOLEY",
            "state": "AL",
            "postal_code": "365351947",
            "telephone_number": "251-269-5936",
            "fax_number": "251-974-3113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "EDEN",
        "middle_name": "M",
        "credential": "LPC, LMHC, CAP, ACAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AL",
            "license": "2967",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 3205",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AL",
            "license": "1114",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10898",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360310501",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Foley, AL

Sources for this page

Verify at the official NPI Registry.