Kristine Ruth Edwards, LPC, PC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.0500154 Issued in OH

Practice address

5647 Mayberry SQ E
Sylvania, OH 43560-9456

Phone

(734) 755-7136

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kristineedwards@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Counselor

  NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1104036664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5647 MAYBERRY SQ E",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609456",
            "telephone_number": "734-755-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5647 MAYBERRY SQ E",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609456",
            "telephone_number": "734-755-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KRISTINE",
        "middle_name": "RUTH",
        "credential": "LPC, PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401008894",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.0500154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Catherine Dyer, DPT
• Patrick Dyer, MD
• Ebs Sylvania LLC
• Cassidy Elise Eby, MD
• James Raymond Edinger Jr., MSN- CRNA
• Maha Eidi
• Mera El Ramahi
• Rami Saleh El-Assadi
• Elevate Youth Center LLC
• Fuad Elhusain Elnegres, M.D.

• Counselor in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.