Dottie Joyner Edmonds, MED/ CAGS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PGP-0610306 Issued in VA

Practice address

2830 Bayne Ave
Norfolk, VA 23504-3702

Phone

(757) 289-1637

NPI assigned

Jan 22, 2013

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1358812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1457699662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 BAYNE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043702",
            "telephone_number": "757-289-1637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BAYNE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235043702",
            "telephone_number": "757-289-1637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDS",
        "first_name": "DOTTIE",
        "middle_name": "JOYNER",
        "name_prefix": "Mrs.",
        "credential": "MED/ CAGS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "PGP-0610306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOTTIE'S DEVELOPMENTAL CHILDCARE,LLC",
            "identifier": "S435931",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOTTIE'S DEVELOPMENTAL CHILDCARE,LLC",
            "identifier": "912601",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.