Active NPI
Lisa Edwards, M. A., LPC
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1093994899
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 62132
- Practice address
- 3611 S Soncy Rd Ste 4a
Amarillo, TX 79119-6408 - Phone
- (806) 355-7755
- NPI assigned
- Oct 29, 2007
- Sex
- Female
- 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 | 62132 | TX | Primary |
Addresses
Primary practice location
3611 S Soncy Rd Ste 4a
Amarillo, TX 79119-6408
Mailing address
3611 S Soncy Rd Ste 4a
Amarillo, TX 79119-6408
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62132 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193616000000",
"number": "1093994899",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3611 S SONCY RD STE 4A",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3611 S SONCY RD STE 4A",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791196408",
"telephone_number": "806-355-7755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "LISA",
"credential": "M. A., LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-29",
"last_updated": "2007-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "62132",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
- Michael Wageeh William Ebrahim, MD
- Eds-I Practices of Texas, P.a.
- Educare Community Living Corporation - Texas
- Educare Community Living Corporation-Texas
- David Dustin Edwards, CRNA
- Theresa Lynne Edwards, NP
- Timothy Edwards, M.S. LPC
- David Egerton, PHD
- Tabitha Lynn Eggemeyer, LVN
- Lindsey Eggleston, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.