Active NPI
Fred Clyde Edwards II, MHC
- Mental Health Counselor
- Attleboro, MA
National Provider Identifier
1225568017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 7 Railroad Ave Unit B
Attleboro, MA 02703-2908 - Phone
- (833) 510-4357
- NPI assigned
- Jun 14, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7 Railroad Ave Unit B
Attleboro, MA 02703-2908
Mailing address
4600 Montgomery Rd Ste 400
Cincinnati, OH 45212-2600
Phone (833) 510-4357
Other practice location 1
506 N Main St
Fall River, MA 02720-3509
Phone (508) 674-2788 ext. 805
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702425600000",
"number": "1225568017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 MONTGOMERY RD STE 400",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452122600",
"telephone_number": "833-510-4357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 RAILROAD AVE UNIT B",
"city": "ATTLEBORO",
"state": "MA",
"postal_code": "027032908",
"telephone_number": "833-510-4357"
}
],
"practiceLocations": [
{
"address_1": "506 N Main St",
"address_purpose": "LOCATION",
"city": "Fall River",
"state": "MA",
"postal_code": "027203509",
"country_code": "US",
"telephone_number": "508-674-2788 x805",
"fax_number": "508-674-2780",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDWARDS",
"first_name": "FRED",
"middle_name": "CLYDE",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-14",
"last_updated": "2023-12-13",
"certification_date": "2023-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Attleboro, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.