Individual provider Active NPI

Ronald W Edwards, LPC, LMFT ASSOCIATE

  • Counselor
  • Dallas, TX
National Provider Identifier
1174829147
Registry record updated Feb 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
64749 Issued in TX
Practice address
1350 N Westmoreland Rd
Dallas, TX 75211-1654
Phone
(214) 927-1952
NPI assigned
Feb 8, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 64749 TX Primary
Marriage & Family Therapist 106H00000X 201575 TX

Addresses

Primary practice location

1350 N Westmoreland Rd
Dallas, TX 75211-1654

Mailing address

700 Timber Oaks LN
Apt #10101
Grand Prairie, TX 75051-1091
Phone (214) 927-1952

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

State licenses

LicenseStateTypeSpecialty
201575TXMDMarriage & Family Therapist
64749TXMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1297123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297123200000",
    "number": "1174829147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 TIMBER OAKS LN",
            "address_2": "APT #10101",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750511091",
            "telephone_number": "214-927-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 N WESTMORELAND RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111654",
            "telephone_number": "214-927-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "RONALD",
        "middle_name": "W",
        "credential": "LPC, LMFT ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-08",
        "last_updated": "2011-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "64749",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201575",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2011; 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.