Eden Counseling Center LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

EDEN COUNSELING CENTER LLC

Practice address

8794 Big Bear Ave
Powell, OH 43065

Phone

(614) 352-6993

NPI assigned

Sep 16, 2015

Organization subpart

No

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

Authorized official

Name

Mr. William Earl Jennings

Title

Ceo

Phone

(614) 352-6993

Specialties & licenses 6

Addresses

Other identifiers 4

Locations

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Eden Behavioral Health Residential Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Columbus, OH
  • NPI 1699289637
  NPPES parent name
• Eden Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
  • NPI 1992401780
  NPPES parent name

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

{
    "created_epoch": "1442361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449705600000",
    "number": "1982073334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 NORTHWOODS BLVD STE B1",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8794 BIG BEAR AVE",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "43065",
            "telephone_number": "614-352-6993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-16",
        "last_updated": "2015-12-10",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-352-6993",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "34.010652",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "35.071312",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "34.010652",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "35.071312",
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1093890550",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164759866",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811144264",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538251434",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macaira Dyment, D.P.M.
• Chad Eagy, D.C.
• Chandra Ellen Earp
• Malinda Eberly-Phillips, LISW
• Anthony Eberly, COTAL
• Eden Counseling Centers LLC Mental Health
• Edward T. Arcy, D.O., Inc.
• Katherine Michelle Edwardson, RN
• Ashley Eibling
• Elevate Behavior Health LLC

• Early Intervention Provider Agency in Powell, OH
• Providers in Powell, OH by specialty
• Early Intervention Provider Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; 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.