Dana Edwardson
Individual provider Active NPI Mental Health Counselor · Clinton, IN
NPI 1235527797 · NPPES record last updated Jan 6, 2015
Key facts
- NPI
- 1235527797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 88000037A (IN)
- Practice address
- 777 S Main St Ste 100
Clinton, IN 47842-2493 - Phone
- (765) 828-1003
- NPI assigned
- Jan 6, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88000037A | IN | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfit Counseling | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 88000037A | IN | Yes |
Addresses
Primary practice location
777 S Main St Ste 100
Clinton, IN 47842-2493
Mailing address
777 S Main St Ste 100
Clinton, IN 47842-2493
Phone (765) 828-1003
Other providers in Clinton, IN
- Benjamin Cvengros
- Valerie R Davis
- Mary Alvanos Deady
- Jihan L Doss
- Barbara Michelle Edwards
- Elite Spine & Sport LLC
- Lauriann Ellis
- Cameron Scott Elmore
- Julia Elrod
- Kristina Ervin
All providers in Clinton, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.