1. Home
  2. Directory
  3. New York
  4. Fairport
  5. Counselor
  6. NPI Profile

JOHN D EICHENBERGER L.M.H.C., C.A.S.A.C.
NPI 1093187288
Counselor - Mental Health in Fairport, NY

Active since October 27, 2015PECOS Enrolled
625 CROSS KEYS OFFICE PARK, BUILDING 600 SUITE 625, FAIRPORT, NY 14450(585) 425-2840(585) 425-2196 Get Directions Write a Review

NPPES record last updated: October 27, 2015. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About John D Eichenberger L.m.h.c., C.a.s.a.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN D EICHENBERGER L.M.H.C., C.A.S.A.C. (NPI 1093187288) is an individual mental health provider in Fairport, New York, licensed in New York (006328) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093187288
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJOHN D EICHENBERGERCredential: L.M.H.C., C.A.S.A.C.
Location Address625 CROSS KEYS OFFICE PARK, BUILDING 600 SUITE 625Fairport, NY 14450-3508
Mailing Address625 Cross Keys Office Park, Building 600 Suite 625Fairport, NY 14450-3508 · (585) 425-2840 · Fax (585) 425-2196
Phone(585) 425-2840
Fax(585) 425-2196
Sole ProprietorYes
Enumeration DateOctober 27, 2015
✔ NPI 1093187288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 006328
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 17971 (NY)
625 CROSS KEYS OFFICE PARK, Fairport, NY 14450
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John D Eichenberger L.m.h.c., C.a.s.a.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Eichenberger's NPI number?

The NPI number for John Eichenberger is 1093187288. It was assigned to this individual provider in the NPPES registry on October 27, 2015.

Where is John Eichenberger located?

John Eichenberger practices at 625 Cross Keys Office Park Building 600 Suite 625, Fairport, NY 14450. The listed phone number is (585) 425-2840.

What is John Eichenberger's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is John Eichenberger enrolled in Medicare?

Yes. John Eichenberger is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Eichenberger was last updated on October 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.