Individual provider Active NPI

Edna Gail Stanley, LCMHC-A, LCAS, NCC

  • Mental Health Counselor
  • Kinston, NC
National Provider Identifier
1245923358
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A20869 Issued in NC
Practice address
2902 N Herritage St Ste a
Kinston, NC 28501-1580
Phone
(252) 686-5020
Fax
(252) 686-5069
NPI assigned
Jun 2, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A20869 NC Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X LCAS-29081 NC

Addresses

Primary practice location

2902 N Herritage St Ste a
Kinston, NC 28501-1580

Mailing address

2902 N Herritage St Ste a
Kinston, NC 28501-1580
Phone (252) 686-5020

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

LicenseStateTypeSpecialty
LCAS-29081NCMDAddiction (Substance Use Disorder) Counselor
A20869NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pride in North Carolina, LLC Mental Health PastSince Jun 4, 2023 Accepting new patients

Organizations & group practices 1

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": "1685664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1245923358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 N HERRITAGE ST STE A",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011580",
            "telephone_number": "252-686-5020",
            "fax_number": "252-686-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 N HERRITAGE ST STE A",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285011580",
            "telephone_number": "252-686-5020",
            "fax_number": "252-686-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANLEY",
        "first_name": "EDNA",
        "middle_name": "GAIL",
        "credential": "LCMHC-A, LCAS, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-02",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A20869",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-29081",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.