Active NPI
Samantha Eden Edwards
- Counselor
- Pottstown, PA
National Provider Identifier
1255847596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 11 Robinson St
Pottstown, PA 19464-6421 - Phone
- (484) 941-0500
- NPI assigned
- Dec 22, 2017
- Last updated
- Dec 22, 2017
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
11 Robinson St
Pottstown, PA 19464-6421
Mailing address
11 Robinson St
Pottstown, PA 19464-6421
Phone (484) 941-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 19, 2024 through Jun 19, 2028
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": "1513900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1255847596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 ROBINSON ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194646421",
"telephone_number": "484-941-0500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ROBINSON ST",
"city": "POTTSTOWN",
"state": "PA",
"postal_code": "194646421",
"telephone_number": "484-941-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "SAMANTHA",
"middle_name": "EDEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-22",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pottstown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.