Shari Lynne Edgell, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5424 Issued in CO

Practice address

1755 Telstar Drive
Suite 300
Colorado Springs, CO 80920-1019

Phone

(719) 237-4799

Fax

(719) 644-6401

NPI assigned

Jan 30, 2008

Sex

Female

Sole proprietor

Yes

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

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.

• Avilion Mental Health LLC

  • Mental Health Counselor
  • Colorado Springs, CO
  • NPI 1588211155
  NPD (past)
• Thoughtful Connections, LLC

  • Clinical Social Worker
  • Colorado Springs, CO
  • NPI 1215447156
  NPD (past)

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519257600000",
    "number": "1376720573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 TELSTAR DR STE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201019",
            "telephone_number": "719-237-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 TELSTAR DRIVE",
            "address_2": "SUITE 300",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809201019",
            "telephone_number": "719-237-4799",
            "fax_number": "719-644-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGELL",
        "first_name": "SHARI",
        "middle_name": "LYNNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-30",
        "last_updated": "2018-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "5424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edge Medical Services
• Edge Medical Services
• Edge Medical Services
• Edge Rehabilitation & Wellness LLC
• Tracie Edge-Wilson
• Steven Jeffrey Edginton, NP-C
• Diana Jane Ediger, NP
• Elizabeth Mary Edling, NLC, MA
• Elizabeth M Edmonds, PHARMD
• Maria Edmonds

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.