Emily Brianne Edwards

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

217 E Southway Blvd
Kokomo, IN 46902-3698

Phone

(765) 201-0026

Fax

(765) 319-0585

NPI assigned

Sep 23, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Psychotherapy Associates of Kokomo, LLC

  • Clinical Social Worker
  • Kokomo, IN
  • NPI 1447868906
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1043826175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023698",
            "telephone_number": "765-201-0025",
            "fax_number": "765-319-0585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E SOUTHWAY BLVD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023698",
            "telephone_number": "765-201-0026",
            "fax_number": "765-319-0585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "EMILY",
        "middle_name": "BRIANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@pakkokomo.com",
            "affiliation": "N",
            "endpointDescription": "Psychotherapy Associates of Kokomo website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "217 E Southway Blvd",
            "city": "Kokomo",
            "state": "IN",
            "country_code": "US",
            "postal_code": "469023698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mariah Easton
• Chinajean Eaton
• Alisha Ebert
• Marissa Edison
• Nicole Edmonds
• James Stephen Edwards, MSW, LCSW
• Madison Edwards
• Scott Andrew Edwards, PHD HSPP
• Torey Edwards, RBT
• Natalie Egierski

• Mental Health Counselor in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.