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THEODOR MICHAEL EIBEN
NPI 1700442589
Counselor - Mental Health in Lakewood, OH

Active since May 16, 2019PECOS Enrolled
1662 MARS AVE # 103, LAKEWOOD, OH 44107(216) 282-3838 Get Directions Write a Review

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 12, 2020, Jul 22, 2019, May 16, 2019 (3 updates tracked since 2019).

About Theodor Michael Eiben NPPES

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

THEODOR MICHAEL EIBEN (NPI 1700442589) is an individual mental health provider in Lakewood, Ohio, licensed in Ohio (C.2002702) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700442589
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameTHEODOR MICHAEL EIBEN
Location Address1662 MARS AVE # 103Lakewood, OH 44107-3825
Mailing Address1662 Mars AveLakewood, OH 44107-3825 · (216) 282-3838
Phone(216) 282-3838
Sole ProprietorYes
Enumeration DateMay 16, 2019
Last NPPES UpdateJune 12, 20203 updates tracked since enumeration
NPPES CertifiedJune 12, 2020
✔ NPI 1700442589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OH · C.2002702
1662 MARS AVE # 103, Lakewood, OH 44107
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, CareSource and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Theodor Michael Eiben 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.

Medicare Billing Reassignment

Medicare enrollment records show Theodor Eiben reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Well Cleveland, LLC
15 mi
Mental Health
5338 MEADOW LANE CT
Sheffield Village, OH 44035
  • Reassigned Medicare billing, Ohio enrollment
  • 26 clinicians in this Medicare group
NPI 1295244317 (216) 282-3838

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA JONES LPCC
Counselor (Mental Health)
1662 MARS AVE # 103
LAKEWOOD, OH 44107
Cuyahoga County (216) 618-1798

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 Theodor Eiben's NPI number?

The NPI number for Theodor Eiben is 1700442589. It was assigned to this individual provider in the NPPES registry on May 16, 2019.

Where is Theodor Eiben located?

Theodor Eiben practices at 1662 Mars Ave # 103, Lakewood, OH 44107. The listed phone number is (216) 282-3838.

What is Theodor Eiben's specialty?

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

Is Theodor Eiben enrolled in Medicare?

Yes. Theodor Eiben is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theodor Eiben's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theodor Eiben reassigns Medicare benefits to Grow Well Cleveland, LLC (Sheffield Village, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theodor Eiben's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theodor Eiben accept?

Health plans from Anthem Blue Cross and Blue Shield, BridgeSpan Health Company, CareSource, MedMutual and Molina Healthcare and 3 other insurers list Theodor Eiben as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Theodor Eiben was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.