Tamela Eleasia Edwards, MA, CMHC, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

167128 Issued in AK

Practice address

771 Badger Rd Ste 205
North Pole, AK 99705-5710

Phone

(907) 651-8808

NPI assigned

Aug 28, 2019

Last updated

May 11, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amazing Love Counseling, LLC

  • Mental Health Counselor
  • North Pole, AK
  • NPI 1982341574
  NPD Authorized official

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1548818008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55846",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997050846",
            "telephone_number": "404-454-3377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "771 BADGER RD STE 205",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055710",
            "telephone_number": "907-651-8808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "515 7th Ave Ste 340",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997014949",
            "country_code": "US",
            "telephone_number": "907-651-8808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TAMELA",
        "middle_name": "ELEASIA",
        "credential": "MA, CMHC, NCC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "167128",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "167128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL COUNSELOR",
            "identifier": "167128",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Anne Delp
• Dental Workshop Partnership (Alaska Dental Arts North Pole)
• Cheryl L Denton
• Eileen Michelle Dinger
• Eagles Wings LLC
• William L Emery, LPC
• Eric P. Buetow, D.D.S., P.C.
• Natalie Evans, PT
• Lea Dawn Everson
• Far North Urgent Care

• Mental Health Counselor in North Pole, AK
• Providers in North Pole, AK by specialty
• Mental Health Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; 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.