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MR. EDWARD GROENENDAL MA
NPI 1629185475
Counselor - Professional in Crystal Lake, IL

Active since August 25, 2006
475 W TERRA COTTA AVE STE B1, CRYSTAL LAKE, IL 60014(847) 899-8370(815) 425-5980 Get Directions Write a Review

NPPES record last updated: April 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Edward Groenendal Ma NPPES

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

MR. EDWARD GROENENDAL MA (NPI 1629185475) is an individual professional provider in Crystal Lake, Illinois, licensed in Illinois (180004527) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1629185475
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. EDWARD GROENENDALCredential: MA
Location Address475 W TERRA COTTA AVE STE B1Crystal Lake, IL 60014-3407
Mailing Address475 W Terra Cotta Ave Ste B1Crystal Lake, IL 60014-3407 · (847) 899-8370 · Fax (815) 425-5980
Phone(847) 899-8370
Fax(815) 425-5980
Sole ProprietorYes
Enumeration DateAugust 25, 2006
Last NPPES UpdateApril 9, 2025
NPPES CertifiedApril 9, 2025
✔ NPI 1629185475 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180004527
475 W TERRA COTTA AVE STE B1, Crystal Lake, IL 60014
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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 Edward Groenendal's NPI number?

The NPI number for Edward Groenendal is 1629185475. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Edward Groenendal located?

Edward Groenendal practices at 475 W Terra Cotta Ave Ste B1, Crystal Lake, IL 60014. The listed phone number is (847) 899-8370.

What is Edward Groenendal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Edward Groenendal was last updated on April 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.