Active NPI
Dana Edwards
- Mental Health Counselor
- Suffolk, VA
National Provider Identifier
1043053291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0704017600
- Practice address
- 4897 Bennetts Pasture Rd Unit 5354
Suffolk, VA 23435-1362 - Phone
- (757) 589-7230
- NPI assigned
- Jun 17, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 0704017600 | VA | Primary |
Addresses
Primary practice location
4897 Bennetts Pasture Rd Unit 5354
Suffolk, VA 23435-1362
Mailing address
4897 Bennetts Pasture Rd Unit 5354
Suffolk, VA 23435-1362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0704017600 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735344000000",
"number": "1043053291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4897 BENNETTS PASTURE RD UNIT 5354",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4897 BENNETTS PASTURE RD UNIT 5354",
"city": "SUFFOLK",
"state": "VA",
"postal_code": "234351362",
"telephone_number": "757-589-7230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "DANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-12-28",
"certification_date": "2024-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0704017600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Suffolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.