Jennifer Edgemon

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

12800 Hillcrest Rd # A124
Dallas, TX 75230-1524

Phone

(214) 755-6119

NPI assigned

Jun 23, 2016

Last updated

May 26, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ohlenforst Therapy Dallas, PLLC

  • Clinical Psychologist
  • Dallas, TX
  • NPI 1619705233
  NPD

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

{
    "created_epoch": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1174974844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 LATHAM ST",
            "address_2": "APT 7",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411779",
            "telephone_number": "703-939-5934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12800 HILLCREST RD # A124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752301524",
            "telephone_number": "214-755-6119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1270 Natividad Rd",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "CA",
            "postal_code": "939063122",
            "country_code": "US",
            "telephone_number": "831-796-1500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDGEMON",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edge-MD Lake June, PLLC
• Edge-MD Singleton, PLLC
• Edge-MD, PLLC
• Colleen D Edge, MD
• Jeremy R Edge, LPC
• Allison Renae Edgerly, CRNA
• Linda W Edgerton, CPNP-AC
• Edie Hernandez Putt, Psy D, LPC-PC
• Lynn Edinger
• Mercy Oghosa Edionwe, MD

• Psychologist in Dallas, TX
• Providers in Dallas, TX by specialty
• Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.