Shawn C Edgington, PH.D.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

317666-6004 Issued in UT

Practice address

3651 N 100 E Ste 100
Provo, UT 84604-4598

Phone

(801) 356-0014

Fax

(801) 373-3655

NPI assigned

Jan 31, 2007

Sex

Male

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

Doctor of Philosophy

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 and National Provider Directory roles.

• Palisades Counseling LLC

  • Counseling Psychologist
  • Provo, UT
  • NPI 1225817414
  NPD Authorized official
• Brigham Young University

  • Point of Service
  • Provo, UT
  • NPI 1942276092
  NPD (past)
• Canyon Counseling Center, Inc

  • Counseling Psychologist
  • Provo, UT
  • NPI 1649946179
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457498271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 N 100 E STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044598",
            "telephone_number": "801-356-0014",
            "fax_number": "801-373-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 N 100 E STE 100",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044598",
            "telephone_number": "801-356-0014",
            "fax_number": "801-373-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGINGTON",
        "first_name": "SHAWN",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "317666-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlin Fae Eddington
• Caroline Grace Eddington
• Paisley Ann Eddy
• Edge Medical Services
• Liam Edgington
• Edison Stanford Hearing Aid Center
• Mary Edman, LPN
• Lance Dustin Edmonds, M.D.
• Rita Edmonds, LCSW
• David O. Edmunds

• Professional Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.