Eden Counseling Centers LLC

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

34010652 Issued in OH

Legal business name

EDEN COUNSELING CENTERS LLC

Doing business as

Eden Counseling Centers LLC

Practice address

360 S Grant Ave
Columbus, OH 43215-5537

Phone

(614) 398-3470

Fax

(614) 340-3083

NPI assigned

May 17, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Edith Waugh

Title

Chair, Board of Directors

Phone

(614) 398-3470

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eden Counseling Centers LLC Doing business as

Locations

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616025600000",
    "number": "1760839096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155537",
            "telephone_number": "614-398-3470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155537",
            "telephone_number": "614-398-3470",
            "fax_number": "614-340-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN COUNSELING CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "CHAIR, BOARD OF DIRECTORS",
        "authorized_official_telephone_number": "614-398-3470",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "34010652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150666",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Counseling Centers LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eden Counseling Centers LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melissa Danielle Edell, NP
• Steven M. Edell, APRN.CNP
• John Edelstein, PHARMD, BCPS
• Eden Behavioral Health Residential Treatment Center
• Eden Counseling Center LLC (Eden Counseling Centers LLC)
• Eden HR LLC (Eden Health Restored)
• Dawn Michele Eden, L.P.N.
• Esthee Uwana Edet
• Kristin Edgar, MS, RD, LD
• Trent Evan Edgar, DO

• Addiction Psychiatry Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Addiction Psychiatry Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.