Individual provider Active NPI

John Dexter Edwards, LPC

  • Professional Counselor
  • Monroe, LA
National Provider Identifier
1225180664
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3379 Issued in LA
Practice address
1410 Royal Ave
Monroe, LA 71201-5608
Phone
(318) 998-3511
Fax
(318) 322-9492
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3379 LA Primary

Addresses

Primary practice location

1410 Royal Ave
Monroe, LA 71201-5608

Mailing address

187 Pine Ridge Rd
West Monroe, LA 71292-8125
Phone (318) 547-9627

Other names 1

  • Jodey Edwards Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20250201000164 LA Practitioner - Mental Health Counselor 6406206036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Solutions Counseling CenterGroup PAC ID 2466821814, 14 clinicians

Practice addresses (Care Compare)

1105 Hudson LN
Monroe, LA 71201-6003
Phone 3182812448313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3379LAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Solutions Counseling Center CurrentSince Nov 22, 2024 Accepting new patients
Williams Consulting Inc. Past Accepting new patients
Family Solutions Pediatrics, LLC PastSince Nov 22, 2024 Accepting new patients

Locations

1105 Hudson Ln
Monroe, LA 71201
Phone (318) 281-2448

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1225180664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 PINE RIDGE RD",
            "city": "WEST MONROE",
            "state": "LA",
            "postal_code": "712928125",
            "telephone_number": "318-547-9627",
            "fax_number": "318-322-9492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 ROYAL AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015608",
            "telephone_number": "318-998-3511",
            "fax_number": "318-322-9492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOHN",
        "middle_name": "DEXTER",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JODEY",
            "last_name": "EDWARDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.