Kenneth J. Edwards, M.ED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PBA 001105 Issued in MA

Practice address

1960 Washington St
Boston, MA 02118-3219

Phone

(617) 516-0280

Fax

(617) 516-0280

NPI assigned

May 9, 2008

Last updated

Jun 10, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 Education

State licenses

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

{
    "created_epoch": "1210291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1528235579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 LORNE ST",
            "city": "DORCHESTER CENTER",
            "state": "MA",
            "postal_code": "021241449",
            "telephone_number": "617-303-3146",
            "fax_number": "617-516-0281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1960 WASHINGTON ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021183219",
            "telephone_number": "617-516-0280",
            "fax_number": "617-516-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KENNETH",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "M.ED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-09",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "PBA 001105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl A Edwards, M.S.
• Daniel Edwards, PSYD
• Diana Sylvia Edwards
• Heather Edwards, MD
• Jerome Edwards, FNP
• Kristin Edwards, PT, ATC
• Lauren Edwards, MD
• Lucas John Edwards, M.D.
• Lucy Edwards
• Melinda J Edwards, MD

• Mental Health Counselor in Boston, MA
• Providers in Boston, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.