Individual provider Active NPI

Karen Lynn Edwards, MED, LPC, LSATP,CSAC

  • Professional Counselor
  • Galax, VA
National Provider Identifier
1407332026
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007746 Issued in VA
Practice address
140D Larkspur LN
Galax, VA 24333-2305
Phone
(276) 236-6341
Fax
(276) 236-6237
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007746 VA Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 0710102787 VA

Addresses

Primary practice location

140D Larkspur LN
Galax, VA 24333-2305

Mailing address

4217A Gambetta Rd
Galax, VA 24333-5150
Phone (276) 236-6341

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 Education

State licenses

LicenseStateTypeSpecialty
0710102787VAMDAddiction (Substance Use Disorder) Counselor
0701007746VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sobrius Curae LLC Addiction (Substance Use Disorder) Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686787200000",
    "number": "1407332026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4217A GAMBETTA RD",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243335150",
            "telephone_number": "276-236-6341",
            "fax_number": "276-236-6237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140D LARKSPUR LN",
            "city": "GALAX",
            "state": "VA",
            "postal_code": "243332305",
            "telephone_number": "276-236-6341",
            "fax_number": "276-236-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "MED, LPC, LSATP,CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007746",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; 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.