Individual provider Active NPI

Lesley A Eddington, LLPC, LLMFT, NCC

  • Professional Counselor
  • Traverse City, MI
National Provider Identifier
1689829954
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6401013791 Issued in MI
Practice address
4230 Copper Ridge Dr BLDG E
Traverse City, MI 49684-7256
Phone
(231) 935-6382
NPI assigned
Nov 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 6401013791 MI Primary

Addresses

Primary practice location

4230 Copper Ridge Dr BLDG E
Traverse City, MI 49684-7256

Mailing address

109 S Union St
Suite 208
Traverse City, MI 49684-2590
Phone (720) 469-5930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20231128002170 MI Practitioner - Mental Health Counselor 2860840006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munson Medical CenterGroup PAC ID 3072426287, shared by 12 NPIs, 377 clinicians

Practice addresses (Care Compare)

1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000

1105 6TH St
Traverse City, MI 49684-2349
Phone (231) 935-5000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Munson Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Munson Medical Center Current Accepting new patients
Munson Medical Center CurrentSince Jan 1, 2024 Accepting new patients
Munson Medical Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

2513 Momentum Pl
Chicago, IL 60689
Phone (231) 935-8031

4230 Copper Ridge Dr
Traverse City, MI 49684
Phone (231) 935-6380

1400 Medical Campus Dr
Traverse City, MI 49684
Phone (231) 935-8000

4230 Copper Ridge Dr
Bldg E
Traverse City, MI 49684
Phone (231) 935-6382

1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1227916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1689829954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S UNION ST",
            "address_2": "SUITE 208",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496842590",
            "telephone_number": "720-469-5930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 COPPER RIDGE DR BLDG E",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496847256",
            "telephone_number": "231-935-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDDINGTON",
        "first_name": "LESLEY",
        "middle_name": "A",
        "credential": "LLPC, LLMFT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-29",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401013791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Traverse City, MI

Sources for this page

Verify at the official NPI Registry.