Individual provider Active NPI

Gregory Todd Eaton, LCPC

  • Professional Counselor
  • Hinsdale, IL
National Provider Identifier
1740344498
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180006503 Issued in IL
Practice address
501 W Ogden Ave
Suite 1
Hinsdale, IL 60521-3179
Phone
(630) 986-4260
Fax
(630) 986-1477
NPI assigned
Dec 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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 180006503 IL Primary

Addresses

Primary practice location

501 W Ogden Ave
Suite 1
Hinsdale, IL 60521-3179

Mailing address

501 W Ogden Ave
Suite 1
Hinsdale, IL 60521-3179
Phone (630) 986-4260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20240625003515 IL Practitioner - Mental Health Counselor 8022552512 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Rodasi LLCGroup PAC ID 0749418630, 34 clinicians

Practice addresses (Care Compare)

2500 W Higgins Rd
Suite 105
Hoffman Estates, IL 60169-2040
Phone (888) 870-1775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
180006503ILMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rodasi LLC Professional CurrentSince Apr 6, 2024 Accepting new patients

Locations

2500 W Higgins Rd
Ste 105
Hoffman Estates, IL 60169
Phone (773) 904-0094

684 S Barrington Rd
Streamwood, IL 60107
Phone (630) 883-0815

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": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1740344498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-986-4260",
            "fax_number": "630-986-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W OGDEN AVE",
            "address_2": "SUITE 1",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213179",
            "telephone_number": "630-986-4260",
            "fax_number": "630-986-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATON",
        "first_name": "GREGORY",
        "middle_name": "TODD",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

Verify at the official NPI Registry.