Individual provider Active NPI

Kay E Edwards, M.ED., LCMHC

  • Mental Health Counselor
  • Londonderry, NH
National Provider Identifier
1285730945
Registry record updated Apr 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
34 Issued in NH
Practice address
226 Rockingham Rd
Londonderry, NH 03053-2107
Phone
(603) 425-2989
Fax
(603) 425-2978
NPI assigned
Sep 16, 2006
Last updated
Apr 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 34 NH Primary

Addresses

Primary practice location

226 Rockingham Rd
Londonderry, NH 03053-2107

Mailing address

226 Rockingham Rd
Londonderry, NH 03053-2107
Phone (603) 425-2989

Other identifiers 2

IdentifierTypeStateIssuer
30006767MedicaidNH
1404918Y0NH01OtherNHBLUE CROSS BLUE SHIELD NH

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
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
34NHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
New Leaf Counseling Mental Health Past Accepting new patients
The Birch Street Counseling Center, Inc. Mental Health Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1285730945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 ROCKINGHAM RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532107",
            "telephone_number": "603-425-2989",
            "fax_number": "603-425-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 ROCKINGHAM RD",
            "city": "LONDONDERRY",
            "state": "NH",
            "postal_code": "030532107",
            "telephone_number": "603-425-2989",
            "fax_number": "603-425-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KAY",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "M.ED., LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "34",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30006767",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NH",
            "identifier": "1404918Y0NH01",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Londonderry, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.