Edmondson Counseling Services, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1508 Issued in OK

Legal business name

EDMONDSON COUNSELING SERVICES, PC

Practice address

5009 N Pennsylvania Ave
Ste. 116
Oklahoma City, OK 73112-8887

Phone

(405) 843-1551

Fax

(405) 843-1494

NPI assigned

Nov 30, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Connie Cunningham Edmondson, LCSWNPI 1730199167

Title

Licensed Clinical Social Worker

Phone

(405) 843-1551

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie C. Edmondson, MSW

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1730199167
  Medicare reassignment Care Compare group Authorized official
• Elissa Marie Dyer, PH.D.

  • Health Service Psychologist
  • Oklahoma City, OK
  • NPI 1801029715
  Medicare reassignment Care Compare group
• Brian Thomas Edmondson, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1407020555
  Medicare reassignment Care Compare group
• Andrea Nicole Caplinger, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1376894121
  Medicare reassignment
• Meredith Winslow Blalock, ND

  • Naturopath
  • Oklahoma City, OK
  • NPI 1649575333
  NPD (past)
• Sally Ray, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1013004084
  NPD (past)
• Allison Lee Kennedy, LCSW

  • Clinical Social Worker
  • Plano, TX
  • NPI 1083792840
  NPD (past)

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1447328489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 N PENNSYLVANIA AVE",
            "address_2": "STE. 116",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128887",
            "telephone_number": "405-843-1551",
            "fax_number": "405-843-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5009 N PENNSYLVANIA AVE",
            "address_2": "STE. 116",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731128887",
            "telephone_number": "405-843-1551",
            "fax_number": "405-843-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDSON COUNSELING SERVICES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-30",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "CUNNINGHAM",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "405-843-1551",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "448602140002",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mysti Nicole Edge
• Ngwese Edie
• Elizabeth N Edling, LPC
• Edmed
• William Bentley Edmonds, M.D.
• Brian Thomas Edmondson, LCSW
• Connie C. Edmondson, MSW
• Emily Edmondson
• Raquel Maria Louisa Edmondson, DNP
• Ashley Edmonson

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.