Patricia Lane Edgerton, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

564 Issued in NC

Practice address

4601 Lake Boone TRL
Suite 3a
Raleigh, NC 27607-7503

Phone

(919) 781-2669

Fax

(919) 881-0547

NPI assigned

May 28, 2007

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1180310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467663682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL",
            "address_2": "SUITE 3A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-781-2669",
            "fax_number": "919-881-0547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 LAKE BOONE TRL",
            "address_2": "SUITE 3A",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276077503",
            "telephone_number": "919-781-2669",
            "fax_number": "919-881-0547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGERTON",
        "first_name": "PATRICIA",
        "middle_name": "LANE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID NUMBER",
            "identifier": "30090",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alia Antonucci-Alter Edelen, DPT
• William Edelson, MD
• Taylor Danielle Edgerley
• Audrey Edgerton
• Becky Jean Edgerton, PT
• Dorrie Edgeston-Jones, DNP, FNP
• Victoria Edgington, MA, LPCC, LMHC
• Rebekah Hester Edie, DPT
• Calie Edmonds
• Ciera Edmonds

• Mental Health Counselor in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Mental Health Counselor in North Carolina

• 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.