Jennifer L Edge, MS ART THERAPY

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

602 Pleasant Oak Dr
Oregon, WI 53575-3282

Phone

(608) 835-5050

Fax

(608) 835-5010

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Master of Science

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.

• Oregon Mental Health Services

  • Community/Behavioral Health Agency
  • Oregon, WI
  • NPI 1932330008
  NPD (past)
• Oregon Mental Health SVS

  • Adolescent and Children Mental Health Clinic/Center
  • Oregon, WI
  • NPI 1508940370
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487864682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 PLEASANT OAK DR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753282",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 PLEASANT OAK DR",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535753282",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "MS ART THERAPY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rika Dombrowski, RN, MS, MA, IBCLC
• Lori Ann Donahue, CAPSW
• James F Dorrance IV, PA-C
• Colleen A Duckwitz
• Lauren Durante, MS LAT ATC
• Jared M Ellingson, DMD
• Galina Emmerich, LPC
• Callie Enyart, O.D.
• Equipcare Supplies LLC
• Christine Anne Erickson, AUD

• Mental Health Counselor in Oregon, WI
• Providers in Oregon, WI by specialty
• Mental Health Counselor in Wisconsin

• 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.