Crystal Kay Edwards

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

117 W Medical CT
Marion, NC 28752-5590

Phone

(828) 659-3966

NPI assigned

Jul 25, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 and National Provider Directory roles.

• McLeod Centers for Wellbeing

  • Community/Behavioral Health Agency
  • Charlotte, NC
  • NPI 1447438106
  NPD (past)

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500940800000",
    "number": "1346763018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 CLANTON RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282171369",
            "telephone_number": "704-332-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MEDICAL CT",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287525590",
            "telephone_number": "828-659-3966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CRYSTAL",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2017-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "A13089",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Marie Dymora, DNP, FNP-BC
• Julie D Eads, MSN, APRN, PMHNP-BC
• Alisa Katherine Eanes, MD
• East Court Group Care, Inc.
• Eckerd Corporation
• Elevate Behavioral Health LLC
• Brooke Ann Elliott
• Rebekah Clark Elliott, PA-C
• Ross Elliott
• Carla Ellis

• Professional Counselor in Marion, NC
• Providers in Marion, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2017; 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.