Elizabeth Lynn Edwards, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008635 Issued in GA

Practice address

930 Glenhaven Dr
Evans, GA 30809-0445

Phone

(706) 814-6429

Fax

(706) 814-6429

NPI assigned

Jan 22, 2016

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Csra Psychological Services Limited Liability Company

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Evans, GA
  • NPI 1811775216
  Medicare reassignment NPD Authorized official
• Transitions of Augusta

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1548459456
  NPD (past)

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

{
    "created_epoch": "1453420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694908800000",
    "number": "1114384054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 COMMERCIAL BLVD",
            "address_2": "PO BOX 204301",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309174301",
            "telephone_number": "706-814-6429",
            "fax_number": "706-814-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 GLENHAVEN DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090445",
            "telephone_number": "706-814-6429",
            "fax_number": "706-814-6429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "511 Courthouse Ln",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309012447",
            "country_code": "US",
            "telephone_number": "706-814-6429",
            "fax_number": "706-814-6429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "ELIZABETH",
        "middle_name": "LYNN",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-22",
        "last_updated": "2023-09-17",
        "certification_date": "2023-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003283182A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVAILITY",
            "identifier": "1576028",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johanna M Dunstan, RD, LD
• E-Wave LLC
• E'Sor Nursing Enterprise LLC
• Keith Wilson Edmonds, LPC
• Amanda Edwards, DPT
• Morgan Edwards
• Olive Egbuniwe, RD
• Benedicta N Ejindu, MED
• Warren Dibrell Elam, M.D.
• Danielle Elizabeth Elbert, PA-C

• Professional Counselor in Evans, GA
• Providers in Evans, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.