OrganizationActive
Eidolon Therapeutic Counseling LLC
NPI 1295422459 · Adult Mental Health Clinic/Center · New York, NY
Provider details
- NPI number
- 1295422459
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Fredbrick Bush, Owner(646) 460-2543
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10 Park Ave
New York, NY 10016-4338
Phone: (646) 460-2543
Street-level locationGet directions
Mailing address
10 Park Ave
New York, NY 10016-4338
Registry dates
- Enumerated
- 2023-04-19
- Last updated
- 2023-04-19
- Certified
- 2023-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.