Organization Active NPI

Eden Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbus, OH
National Provider Identifier
1992401780
Registry record updated Feb 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EDEN COUNSELING CENTER LLC
Practice address
360 S Grant Ave
Columbus, OH 43215-5537
Phone
(614) 398-3470
NPI assigned
Feb 2, 2023
Organization subpart
Yes
Parent organization
EDEN COUNSELING CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 2, 2023

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

Authorized official

Name
Edith Waugh
Title
Board Chair
Phone
(614) 398-3470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

360 S Grant Ave
Columbus, OH 43215-5537

Mailing address

360 S Grant Ave
Columbus, OH 43215-5537

Other identifiers 1

IdentifierTypeStateIssuer
0167485MedicaidOH

Other names 1

  • Eden Counseling Centers LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eden Behavioral Health Residential Treatment Center3 organizations share this tax ID, including this one
Part of
Eden Behavioral Health Residential Treatment Center

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675296000000",
    "number": "1992401780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S GRANT AVE",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432155537",
            "telephone_number": "614-398-3470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN COUNSELING CENTER LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EDEN COUNSELING CENTER LLC",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A",
        "authorized_official_last_name": "WAUGH",
        "authorized_official_first_name": "EDITH",
        "authorized_official_title_or_position": "BOARD CHAIR",
        "authorized_official_telephone_number": "614-398-3470"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0167485",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eden Counseling Centers LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2023; 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.