Edward Blake Eller
Counselor, Mental Health in Washington, DC. Individual provider (NPI-1).
NPI number1942909486
StatusActive
Last updated in NPPESFeb 23, 2023
Details
- NPI
- 1942909486
- Entity type
- Individual (NPI-1)
- Name
- Edward Blake Eller
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 23, 2023
- Certification date
- Feb 23, 2023
- Last updated
- Feb 23, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1221 Taylor St NwWashington, DC 20011-5617
Phone 240-543-6380
Mailing address
4308 Merton RdRockville, MD 20853-2170
Phone 240-543-6380
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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