Blythe Ellen Edwards, MS, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CC3471 Issued in ME

Practice address

9 Hillcrest Ave
Randolph, ME 04346-5131

Phone

(207) 956-3346

Fax

(207) 871-1232

NPI assigned

Sep 14, 2012

Last updated

Jul 16, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1760507297
  NPD
• Spurwink Services Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, ME
  • NPI 1316945090
  NPD (past)

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1427308709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HILLCREST AVE",
            "city": "RANDOLPH",
            "state": "ME",
            "postal_code": "043465131",
            "telephone_number": "207-871-1211",
            "fax_number": "207-871-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 HILLCREST AVE",
            "city": "RANDOLPH",
            "state": "ME",
            "postal_code": "043465131",
            "telephone_number": "207-956-3346",
            "fax_number": "207-871-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BLYTHE",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "MS, LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ME",
            "license": "CC3471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Bourgoin, SLP-A
• Jennifer G Buckingham, LCPC
• Michele Ann Mathieu Burgess, LSW-C
• Sean Cochrane
• Community Pharmacies LLC. (Community Pharmacy of Randolph)
• Evergreen Synergy Physical Therapy LLC
• Jesse Higgins Fournier, COTA/L
• Michelle Harris
• Corrie M Hunkler, LSW-C
• Mallory Rae Keene, MS, OTR/L

• Professional Counselor in Randolph, ME
• Providers in Randolph, ME by specialty
• Professional Counselor in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.

Verify at the official NPI Registry.