NPIMap

Organization Active NPI

Eagle Healthworks LLC

  • Addiction (Substance Use Disorder) Counselor
  • Thornville, OH
National Provider Identifier
1881248359
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Legal business name
EAGLE HEALTHWORKS LLC
Practice address
14882 State Route 13
Thornville, OH 43076-8954
Phone
(740) 688-6588
Fax
(740) 688-6589
NPI assigned
Aug 1, 2019
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
EAGLE HEALTHWORKS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Dennis EagleeyeNPI 1588103717
Title
Owner
Phone
(740) 227-0089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

14882 State Route 13
Thornville, OH 43076-8954

Mailing address

PO Box 894
Cambridge, OH 43725-0894
Phone (740) 242-2300

Other practice location 1

209 Seneca Ave Ste A
Byesville, OH 43723-1364
Phone (740) 685-0016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200529002318 OH Part B Supplier - Clinic/Group Practice 9638590656 Receives reassigned benefits from 11 practitioners
Practice locations: Byesville, OH; Thornville, OH

National Provider Directory

National Provider Directory
Part of
Eagle Healthworks LLC

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1881248359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 894",
            "city": "CAMBRIDGE",
            "state": "OH",
            "postal_code": "437250894",
            "telephone_number": "740-242-2300",
            "fax_number": "740-276-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14882 STATE ROUTE 13",
            "city": "THORNVILLE",
            "state": "OH",
            "postal_code": "430768954",
            "telephone_number": "740-688-6588",
            "fax_number": "740-688-6589"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "209 Seneca Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Byesville",
            "state": "OH",
            "postal_code": "437231364",
            "country_code": "US",
            "telephone_number": "740-685-0016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAGLE HEALTHWORKS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAGLE HEALTHWORKS LLC",
        "enumeration_date": "2019-08-01",
        "last_updated": "2022-01-25",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "EAGLEEYE",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-227-0089"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.