Active NPI
Gregory Todd Eaton, LCPC
- Professional Counselor
- Hinsdale, IL
National Provider Identifier
1740344498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180006503
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 180006503 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rodasi LLC | Professional | Current | 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.