Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD GROENENDAL, MA
Active Sole ProprietorMR. EDWARD GROENENDAL, MA is a Professional Counselor healthcare provider located in CRYSTAL LAKE, Illinois. NPI 1629185475 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · CRYSTAL LAKE, IL
Registration Details
- NPI Number
- 1629185475
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 25, 2006 (19.931649948914 yrs)
- Last Updated
- Apr 9, 2025
- License
-
180004527 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
475 W TERRA COTTA AVE STE B1CRYSTAL LAKE, IL, 600143407Browse IL providers · Browse ZIP 60014
- Phone
- 8478998370
- Fax
- 8154255980
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in CRYSTAL LAKE, IL
| Name | Credential | NPI |
|---|---|---|
| SHIRA R GREENFIELD | LCPC | 1356340665 |
| JEANA ALTMAN | LCPC | 1790887040 |
| MS. DEBRA M SIMPSON | LCPC | 1699879742 |
| MRS. MARY F HERATY | LCPC | 1750464483 |
| DAVID WELCH | LCPC | 1063582047 |
| MS. DURIE T BENNETT | MA LCPC | 1255493912 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.