Active NPI
Edith Bishop Edwards
- Counselor
- Yelm, WA
National Provider Identifier
1063120129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MC61398055
- Practice address
- 202 Cullens St NW
Yelm, WA 98597-9417 - Phone
- (360) 400-4860
- Fax
- (360) 400-4826
- NPI assigned
- Nov 8, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MC61398055 | WA | Primary |
| Mental Health Counselor | 101YM0800X | MC61398055 | WA |
Addresses
Primary practice location
202 Cullens St NW
Yelm, WA 98597-9417
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other practice location 1
6334 Littlerock Rd SW
Tumwater, WA 98512-7332
Phone (360) 704-7590
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2242234 | Medicaid | WA |
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 |
|---|---|---|---|
| MC61398055 | WA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Past | Accepting new patients | |
| Sea Mar Community Health Centers | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Tumwater, WA
- NPI 1679766620
-
- Federally Qualified Health Center (FQHC)
- Tumwater, WA
- NPI 1841486339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1063120129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 CULLENS ST NW",
"city": "YELM",
"state": "WA",
"postal_code": "985979417",
"telephone_number": "360-400-4860",
"fax_number": "360-400-4826"
}
],
"practiceLocations": [
{
"address_1": "6334 Littlerock Rd SW",
"address_purpose": "LOCATION",
"city": "Tumwater",
"state": "WA",
"postal_code": "985127332",
"country_code": "US",
"telephone_number": "360-704-7590",
"fax_number": "360-704-7591",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "EDITH",
"middle_name": "BISHOP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-08",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WA",
"license": "MC61398055",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "MC61398055",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2242234",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yelm, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.