Kemberly M Edwards, MS, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

63723 Issued in TX

Practice address

7807 Alto Caro Dr
Dallas, TX 75248-4305

Phone

(214) 864-5471

NPI assigned

Nov 17, 2020

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

Electronic endpoints 1

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

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.

• Embracing Humanity Counseling and Training

  • Professional Counselor
  • Dallas, TX
  • NPI 1538054044
  NPD Authorized official

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605571200000",
    "number": "1487257002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 ALTO CARO DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484305",
            "telephone_number": "214-864-5471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 ALTO CARO DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752484305",
            "telephone_number": "214-864-5471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KEMBERLY",
        "middle_name": "M",
        "credential": "MS, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "63723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "63723",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Dallas",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7807 Alto Caro Dr",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752484305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer L Edwards, M.D.
• Joyce M. Edwards, MSW
• Julie Edwards, RPH
• Katie Edwards, CO
• Kayla Joyce Edwards
• Kristen Elizabeth Edwards, LCSW
• Krystal Liebzeit Edwards, PHARM.D.
• Latoya Yvette Edwards, MPH, RD, CSP, LD
• Lauren Skjott Edwards, MS, SLP-CCC
• Lilly Edwards

• Mental Health Counselor in Dallas, TX
• Providers in Dallas, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.