Theo Edwards

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

100 N Chestnut St Ste 225
Champaign, IL 61820-3329

Phone

(217) 203-2030

Fax

(217) 355-1255

NPI assigned

Jun 2, 2025

Last updated

Aug 28, 2026By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1306739883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N CHESTNUT ST STE 225",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203329",
            "telephone_number": "217-203-2030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N CHESTNUT ST STE 225",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203329",
            "telephone_number": "217-203-2030",
            "fax_number": "217-355-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "THEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edward Chun, P.C.
• Lacey Edwards
• Latasha Edwards
• Laura L Edwards
• Stephen Edwards
• Kyle Steven Eichelberger, P.A.-C
• Eickmeier Foot and Ankle Clinic, LLC
• Kimberly M. Eickmeier, D.P.M.
• Mercy E Eigbike, MD
• Mohammed Eikram, M.D.

• Mental Health Counselor in Champaign, IL
• Providers in Champaign, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; 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.