Jennifer Smith Edwards, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

2791 Issued in NC

Practice address

916 Broad St
Durham, NC 27705-4142

Phone

(919) 949-3302

NPI assigned

Aug 5, 2006

Last updated

Sep 6, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer Smith Edwards Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ginger Edwards, Professional Counselor

  • Counselor
  • Durham, NC
  • NPI 1568711521
  NPD (past) Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1275542789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CANARY CT",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136591",
            "telephone_number": "919-251-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 BROAD ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054142",
            "telephone_number": "919-949-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JENNIFER",
        "middle_name": "SMITH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "2791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "EDWARDS",
            "middle_name": "SMITH",
            "credential": "CERT CLIN ADD SPEC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Edwards, PHD
• Daniel Edwards
• Drake Scott Edwards, MD, PHD
• Frances Leigh Andersen Edwards, LCSW
• Jamal Rashawn Edwards, PT, DPT, ATC, CSCS
• Joi Lashawn Edwards, DPT
• Jonathan Edwards, LAC
• Kelly Gardner Edwards, RN, MSN, FNP/WHNP-BC
• Kyle Edwards, DPT
• Laurie Elizabeth Edwards, MS, CF-SLP

• Counselor in Durham, NC
• Providers in Durham, NC by specialty
• Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; 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.