Yvonne J. Edwards, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C3376 Issued in OR

Practice address

#10 Pier One
Suite 204
Astoria, OR 97103-6338

Phone

(503) 741-7418

Fax

(503) 325-2903

NPI assigned

Apr 16, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Yvonne Donnelly Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1366862435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3862 FRANKLIN AVE",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971032442",
            "telephone_number": "503-338-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#10 PIER ONE",
            "address_2": "SUITE 204",
            "city": "ASTORIA",
            "state": "OR",
            "postal_code": "971036338",
            "telephone_number": "503-741-7418",
            "fax_number": "503-325-2903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "YVONNE",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C3376",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC24401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YVONNE",
            "last_name": "DONNELLY",
            "prefix": "MS.",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Deborah Denise Dunlap, FNP
• Jacob Curt Durtschi, LCSW
• Lori Ann Dyer, MS, CCC-SLP
• Earth Source Medicine (Astoria Integrative Family Medicine)
• Kellie Wilson Edwards, MD
• Kathryn Eisses
• Lizabeth R Eller, MSW, LCSW
• Mark Owen Ellis, DPM
• Kimberly Sue Eltzroth, M.D.
• Tracy Erfling, ND

• Professional Counselor in Astoria, OR
• Providers in Astoria, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.