Individual provider Active NPI

Kristi A Edwards, MA LPC

  • Professional Counselor
  • Midland, TX
National Provider Identifier
1124125950
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17609 Issued in TX
Practice address
1004 N Big Spring St
Ste 325
Midland, TX 79701
Phone
(432) 570-1084
Fax
(432) 570-4069
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17609 TX Primary

Addresses

Primary practice location

1004 N Big Spring St
Ste 325
Midland, TX 79701

Mailing address

1004 N Big Spring St
Ste 325
Midland, TX 79701
Phone (432) 570-1084

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240214000671 TX Practitioner - Mental Health Counselor 1557714300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centers for Children and Families Inc.Group PAC ID 0648623496, 6 clinicians

Practice addresses (Care Compare)

3701 Andrews Hwy
Midland, TX 79703-4963
Phone (432) 570-1084

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Children & Families Inc Professional CurrentSince Jan 1, 2018 Accepting new patients

Locations

1004 N Big Spring St
Ste 325
Midland, TX 79701
Phone (432) 570-1084

3701 Andrews Hwy
Midland, TX 79703
Phone (432) 570-1084

4241 Tanglewood Ln
Ste 200
Odessa, TX 79762
Phone (432) 580-7006

4241 Tanglewood Ln
Ste 1
Odessa, TX 79762

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124125950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 N BIG SPRING ST",
            "address_2": "STE 325",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-570-1084",
            "fax_number": "432-570-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 N BIG SPRING ST",
            "address_2": "STE 325",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "79701",
            "telephone_number": "432-570-1084",
            "fax_number": "432-570-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KRISTI",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MA LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

Verify at the official NPI Registry.