Active NPI
Catherine Jane Eaton, LCPC
- Professional Counselor
- Gaithersburg, MD
National Provider Identifier
1851728885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC5355
- Practice address
- 915 Russell Ave Ste B
Gaithersburg, MD 20879-6200 - Phone
- (240) 401-8686
- Fax
- (888) 977-1530
- NPI assigned
- Oct 4, 2013
- Sex
- Female
- 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 | LC5355 | MD | Primary |
Addresses
Primary practice location
915 Russell Ave Ste B
Gaithersburg, MD 20879-6200
Mailing address
20402 Honey Crisp LN
Suite O
Germantown, MD 20876-4094
Phone (240) 401-8686
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0703389-00 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC5355 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398816000000",
"number": "1851728885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20402 HONEY CRISP LN",
"address_2": "SUITE O",
"city": "GERMANTOWN",
"state": "MD",
"postal_code": "208764094",
"telephone_number": "240-401-8686"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 RUSSELL AVE STE B",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208796200",
"telephone_number": "240-401-8686",
"fax_number": "888-977-1530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EATON",
"first_name": "CATHERINE",
"middle_name": "JANE",
"credential": "LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-04",
"last_updated": "2014-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC5355",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0703389-00",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.