DALE EICHENBERG (LPC) – Mental Health Counselor, NPI 1992935316

Mental Health Counselor

DALE EICHENBERG (LPC) is a healthcare provider. based in Palatka, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC. They hold a License No. 6401011293 (MI). The NPI Number for DALE EICHENBERG (LPC) is 1992935316

Main info

Male

18 Years Of Experience

Accepts Medicare Assignment

Name

DALE EICHENBERG (LPC)

NPI

1992935316

Phone

(352) 374-5600

Address

3314 CRILL AVE

Enumeration Date

20 July 2009

Last Update Date

4 November 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

3523745600

Graduation Year

2008 (18 years ago)

PAC ID

5890229835

Group Practice PAC ID

7517977812

Professional Enrollment ID

I20241113000994

Address ID

FL326084006GA4316XSTXX400

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience70

Completeness75

Years active:16State licenses:2Digital endpointsOther names

3,020 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for DALE EICHENBERG (LPC)

3314 CRILL AVE
PALATKA, FL 321774162
Phone: (352) 374-5600
Type: Location
4300 SW 13TH ST
GAINESVILLE, FL 326084006
Phone: (352) 374-5600
Fax: (352) 244-2741
Type: Mailing
220, North Main Street, Adrian, Lenawee County, Michigan, 49221, United States
ADRIAN, MI 492212749
Phone: (517) 265-5352
Fax: (517) 263-6090
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20241113000994	I	Mental Health Counselor	FL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32177)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 7517977812View full group profile

Name	Specialty	State
TINA HARKNESS-POIRIER	Clinical Social Worker	FL
TINA LOUISE EDWARDS	Mental Health Counselor	FL
DR. NEWTON AGRAWAL (M.D.)	-	FL
RENEE Z RICHTER (LMHC)	Mental Health Counselor	FL
TINA GURNANI (M.D.)	-	FL
MRS. IJEOMA OFOKANSI (DNP, PMHNP, APRN)	Nurse Practitioner	FL
DR. MATHEW L NGUYEN (MD)	P S Y C H I A T R Y	FL
AMELIA HARTMAN	-	FL
STEPHEN A. STRAUBING (MD.)	Addiction Medicine	FL
MRS. LINDA H SKALSKY (MSN, ARNP-BC)	Nurse Practitioner	FL