Individual provider Active NPI

Eve Buck

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1609447531
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC016686 Issued in PA
Practice address
322 Belgrade St
Philadelphia, PA 19125-4404
Phone
(914) 984-7523
NPI assigned
Jul 1, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2025

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 013587 NY
Mental Health Counselor 101YM0800X PC016686 PA Primary

Addresses

Primary practice location

322 Belgrade St
Philadelphia, PA 19125-4404

Mailing address

322 Belgrade St
Philadelphia, PA 19125-4404
Phone (914) 984-7523

Other practice location 1

128 Chestnut St Ste 303C
Philadelphia, PA 19106-3024
Phone (914) 984-7523

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250508001675 NY Practitioner - Mental Health Counselor 4688191034 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 5TH Ave
FL 11
New York, NY 10001-8017
Phone (765) 337-4719

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC016686PAMDMental Health Counselor
013587NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1609447531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 BELGRADE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254404",
            "telephone_number": "914-984-7523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 BELGRADE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191254404",
            "telephone_number": "914-984-7523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "128 Chestnut St Ste 303C",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191063024",
            "country_code": "US",
            "telephone_number": "914-984-7523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "EVE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-01",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "013587",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC016686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.