Active NPI
Ethel L Edwards, LMFT, LMSW
- Marriage & Family Therapist
- San Antonio, TX
National Provider Identifier
1184895062
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 4046
- Practice address
- 7300 Blanco Rd
Suite 501
San Antonio, TX 78216-4936 - Phone
- (210) 446-8255
- Fax
- (888) 823-3497
- NPI assigned
- Mar 18, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4046 | TX | Primary |
| Social Worker | 104100000X | 06246 | TX | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 281 | TX |
Addresses
Primary practice location
7300 Blanco Rd
Suite 501
San Antonio, TX 78216-4936
Mailing address
PO Box 460429
San Antonio, TX 78246-0429
Phone (210) 446-8255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71110303 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4046 | TX | MD | Behavioral Analyst |
| 06246 | TX | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling Connections of San Antonio | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- San Antonio, TX
- NPI 1780914549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1184895062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460429",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782460429",
"telephone_number": "210-446-8255",
"fax_number": "888-823-3497"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7300 BLANCO RD",
"address_2": "SUITE 501",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782164936",
"telephone_number": "210-446-8255",
"fax_number": "888-823-3497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "ETHEL",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMFT, LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-18",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "4046",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "06246",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "281",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "71110303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.