Active NPI
Jodie Kae Edwards, PHD, LPCC-S
- Psychologist
- Liberty Township, OH
National Provider Identifier
1528575982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6752
- Practice address
- 7570 Bales St Ste 380
Liberty Township, OH 45069-7516 - Phone
- (513) 914-4688
- NPI assigned
- Jan 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | E0700405 | OH | |
| Clinical Psychologist | 103TC0700X | 6752 | OH | |
| Psychologist | 103T00000X | 6752 | OH | Primary |
Addresses
Primary practice location
7570 Bales St Ste 380
Liberty Township, OH 45069-7516
Mailing address
7570 Bales St Ste 380
Liberty Township, OH 45069-7516
Phone (513) 914-4688
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0700405 | OH | MD | Mental Health Counselor |
| 6752 | OH | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrivepointe LTD | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- Liberty Township, OH
- NPI 1487168043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515369600000",
"number": "1528575982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7570 BALES ST STE 380",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450697516",
"telephone_number": "513-914-4688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7570 BALES ST STE 380",
"city": "LIBERTY TOWNSHIP",
"state": "OH",
"postal_code": "450697516",
"telephone_number": "513-914-4688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "JODIE",
"middle_name": "KAE",
"name_prefix": "Dr.",
"credential": "PHD, LPCC-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-08",
"last_updated": "2018-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0700405",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "OH",
"license": "6752",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "6752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Liberty Township, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.