Active NPI
Timothy Edwards, M.S. LPC
- Professional Counselor
- Amarillo, TX
National Provider Identifier
1336946334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 15702
- Practice address
- 2401 N Spring St
Amarillo, TX 79107-7330 - Phone
- (806) 206-4585
- NPI assigned
- Feb 26, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 15702 | TX | Primary |
| Mental Health Counselor | 101YM0800X | 15702 | TX |
Addresses
Primary practice location
2401 N Spring St
Amarillo, TX 79107-7330
Mailing address
2401 N Spring St
Amarillo, TX 79107-7330
Phone (806) 206-4585
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15702 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742515200000",
"number": "1336946334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 N SPRING ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791077330",
"telephone_number": "806-206-4585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 N SPRING ST",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791077330",
"telephone_number": "806-206-4585"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "TIMOTHY",
"credential": "M.S. LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-02-26",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "TX",
"license": "15702",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "15702",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.