Eden Development Network

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180006064 Issued in IL

Legal business name

EDEN DEVELOPMENT NETWORK

Practice address

507 Wood St
Chicago Heights, IL 60411-1625

Phone

(708) 918-3351

NPI assigned

May 4, 2018

Organization subpart

No

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

Authorized official

Name

Regina B McClure, LCPCNPI 1376626200

Title

President/Executive Director

Phone

(708) 918-3351

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Regina B. McClure, LCPC, NCSP

  • Professional Counselor
  • Matteson, IL
  • NPI 1376626200

  Pastoral

  NPD Authorized official

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

{
    "created_epoch": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750636800000",
    "number": "1902395064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "REGINA MCCLURE",
            "address_2": "20650 S. CICERO AVENUE, #613",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "60443",
            "telephone_number": "708-918-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 WOOD ST",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604111625",
            "telephone_number": "708-918-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN DEVELOPMENT NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A",
        "authorized_official_last_name": "MCCLURE",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "708-918-3351",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180006064",
            "primary": true
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.