Active NPI
Natalie Carolanne Edwards, LCPC, LPC, QMHP
- Professional Counselor
- Upper Marlboro, MD
National Provider Identifier
1184987851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701007676
- Practice address
- 7600 Crain Hwy
Upper Marlboro, MD 20772-4232 - Phone
- (301) 627-6603
- NPI assigned
- Jun 19, 2012
- Last updated
- Apr 12, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Professional Counselor | 101YP2500X | LC8219 | MD | |
| Professional Counselor | 101YP2500X | NU | ||
| Professional Counselor | 101YP2500X | 0701007676 | VA | Primary |
Addresses
Primary practice location
7600 Crain Hwy
Upper Marlboro, MD 20772-4232
Mailing address
Clinic #1470
7600 SE Crain Highway
Upper Marlboro, MD 20772
Phone (301) 627-6603
Other practice location 1
3921 Prosperity Ave # 2003
Fairfax, VA 22031-3329
Phone (240) 890-1806
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 |
|---|---|---|---|
| LC8219 | MD | MD | Professional Counselor |
| 0701007676 | VA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1184987851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CLINIC #1470",
"address_2": "7600 SE CRAIN HIGHWAY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20772",
"telephone_number": "301-627-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 CRAIN HWY",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "207724232",
"telephone_number": "301-627-6603"
}
],
"practiceLocations": [
{
"address_1": "3921 Prosperity Ave # 2003",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220313329",
"country_code": "US",
"telephone_number": "240-890-1806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "NATALIE",
"middle_name": "CAROLANNE",
"credential": "LCPC, LPC, QMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-06-19",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC8219",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701007676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upper Marlboro, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.