Kathy Edwards, J.D. M.S. ABD PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5614 Issued in ID

Practice address

1010 W Teton Ave
Nampa, ID 83686-9778

Phone

(208) 312-7148

NPI assigned

Mar 30, 2016

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

Enrolled in ID

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Psychological Associates, PLLCGroup PAC ID 6103801683, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Juris Doctor, Master of Science, Doctor of Philosophy

State licenses

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.

• Cornerstone Psychological Associates, PLLC

  • Clinical Psychologist
  • Boise, ID
  • NPI 1184766396
  Medicare reassignment Care Compare group NPD
• Mana Resources LLC

  • Community/Behavioral Health Agency
  • Caldwell, ID
  • NPI 1366883605
  Medicare reassignment NPD

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1174986905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 W TETON AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836869778",
            "telephone_number": "208-312-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W TETON AVE",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836869778",
            "telephone_number": "208-312-7148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KATHY",
        "credential": "J.D. M.S. ABD PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "5614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Hassell Eddy, PT, DPT
• Edgewater Dental
• Jeffery Edmiston, M.S., LCPC
• Jill T Edmundson
• Edwards Chiropractic Office, P.C.
• Melody Ann Edwards, P.T.
• Paul Robert Edwards, DC
• Steen Edwards, D.P.T.
• Daniel Egbert, D.M.D.
• Ryan Eggli

• Mental Health Counselor in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Counselor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.