Eden Gail Chace
Individual provider Active NPI Marriage & Family Therapist · Riverside, RI
NPI 1942467956 · NPPES record last updated Nov 20, 2025
Key facts
- NPI
- 1942467956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFT00303 (RI)
- Practice address
- 1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061 - Phone
- (401) 432-1000
- Fax
- (401) 432-1500
- NPI assigned
- May 19, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Marriage and Family Therapist
- Education
- Other, 2008
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
15 La Salle SQ
Providence, RI 02903-1814
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251210002886 | RI | Practitioner - Marriage and Family Therapist | 4688168313 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113328 | CA | MD | Marriage & Family Therapist |
| MFT00303 | RI | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emma Pendleton Bradley Hospital | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Lifespan Physician Group, Inc. | Current |
Accepting new patients | |
| Emma Pendleton Bradley Hospital | Current |
Accepting new patients |
Locations
15 La Salle Sq
Providence, RI 02903
593 Eddy St
Providence, RI 02903
1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 113328 | CA | |
| Marriage & Family Therapist | 106H00000X | MFT00303 | RI | Yes |
Addresses
Primary practice location
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Mailing address
15 La Salle SQ
Providence, RI 02903-1814
Phone (401) 444-6779
Other practice location 1
593 Eddy St
Providence, RI 02903-4923
Phone (401) 432-1000
Other providers in Riverside, RI
- Stephanie Catanese
- Kathleen McNaughtan Cawley
- Tiffaney A Cayton
- Cedar and Sage Naturopathic Health LLC
- Abigail Elizabeth Celano
- Paula M Champagne
- Nicole Chaudhrey
- Vicky Cheng
- Jeffrey Chiv
- Patricia A Cioe
All providers in Riverside, RI · Marriage & Family Therapist in Rhode Island
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.