Terina Gaye Edwards, BS, SST

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

6803086151 Issued in MI

Practice address

3079 Lehman St
Hamtramck, MI 48212-3581

Phone

(313) 685-6384

NPI assigned

Jun 14, 2011

Last updated

Jun 14, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

State licenses

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

{
    "created_epoch": "1308009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308009600000",
    "number": "1205121688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3079 LEHMAN ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123581",
            "telephone_number": "313-685-6384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3079 LEHMAN ST",
            "city": "HAMTRAMCK",
            "state": "MI",
            "postal_code": "482123581",
            "telephone_number": "313-685-6384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TERINA",
        "middle_name": "GAYE",
        "name_prefix": "Mrs.",
        "credential": "BS, SST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-14",
        "last_updated": "2011-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "6803086151",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6803086151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH ORGANIZATION",
            "identifier": "6803086151",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Duramax Medical Supply, Inc.
• Hilary Lynn Earl, PA
• Echo Care Solutions L.L.C.
• Echo Care Solutions LLC
• Echo Care Solutions LLC
• Elder Home Care LLC
• Rabih Youssef Elsibai
• Erinn Madison English, NP
• Epic Care Centers Inc
• Essential Care Medical Center

• Addiction (Substance Use Disorder) Counselor in Hamtramck, MI
• Providers in Hamtramck, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 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.