Jessica Edmunds

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC011311 Issued in PA

Practice address

4320 Dexter Ave
Erie, PA 16504-2444

Phone

(814) 825-2930

NPI assigned

Sep 18, 2020

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Abcs of Building Better Lives LLC 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Abcs of Building Better Lives LLC

  • Professional Counselor
  • Erie, PA
  • NPI 1922336940

  PA

  Medicare reassignment Care Compare group NPD
• Edinboro Counseling and Psychological Services

  • Psychologist
  • Edinboro, PA
  • NPI 1194266254
  NPD
• Edinboro Counseling and Psychological Services

  • Professional Counselor
  • Edinboro, PA
  • NPI 1669713178

  Mental Health

  NPD

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

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767139200000",
    "number": "1508472192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 W 30TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165081645",
            "telephone_number": "814-323-3168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 DEXTER AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042444",
            "telephone_number": "814-825-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMUNDS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2025-12-31",
        "certification_date": "2025-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC011311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Riley Eccles, RD
• Amy Eckendorf, LSW
• Lauren M Eckendorf, MS, MA, OTR/L
• Theodore Gary Eckman, M.D.
• Kaila Elizabeth Edgerly-Difilippo
• Edward E. Janus, D.O.,P.C.
• Edward M. Zimm, P.C.
• Edward P Spiegel DDS Inc
• Ashley N Edwards, LPC
• Barbara Louise Edwards, MA

• All providers in Erie, PA
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.