Active NPI
Andrew Edmunds
- Professional Counselor
- Austin, TX
National Provider Identifier
1083158463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3907 Medical Pkwy
Suite 103
Austin, TX 78756-4028 - Phone
- (915) 329-9617
- NPI assigned
- Dec 5, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3907 Medical Pkwy
Suite 103
Austin, TX 78756-4028
Mailing address
5541 S Everett Ave Apt 911
Chicago, IL 60637-5071
Phone (915) 329-9617
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1480896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1083158463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5541 S EVERETT AVE APT 911",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606375071",
"telephone_number": "915-329-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3907 MEDICAL PKWY",
"address_2": "SUITE 103",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787564028",
"telephone_number": "915-329-9617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMUNDS",
"first_name": "ANDREW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-12-05",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.