Natalie I Edwards, PCCS, CDCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.0601006 Issued in OH

Practice address

1206 N Main St
North Canton, OH 44720-1926

Phone

(330) 361-0965

NPI assigned

May 16, 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

Other identifiers 1

Other names 1

• Natalie I Bonchu Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1497961296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201926",
            "telephone_number": "330-361-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N MAIN ST",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201926",
            "telephone_number": "330-361-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NATALIE",
        "middle_name": "I",
        "credential": "PCCS, CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.0601006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3121848",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATALIE",
            "last_name": "BONCHU",
            "middle_name": "I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cathlyn E Eckstein, LPTA
• Victoria M Edelston, COTA/L
• Sarah Edgell
• Kerri Edwards, COTA/L
• Lisa Edwards, LPTA
• Allison Eggert, CCC-SLP
• Laura A Egnacheski, COTA/L
• James Thomas Eimer, D.D.S.
• Patricia C Eisel, PT
• Traci Eister

• Mental Health Counselor in North Canton, OH
• Providers in North Canton, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; 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.