Individual provider Active NPI

Harolyn Dooley Edwards, MSN

  • Psychiatric/Mental Health Registered Nurse
  • Greenbelt, MD
National Provider Identifier
1619644499
Registry record updated Jan 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X
License
AC007120 Issued in MD
Practice address
6305 Ivy LN Ste 101
Greenbelt, MD 20770-6326
Phone
(301) 235-0060
NPI assigned
Aug 27, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X RN132238 GA
Psychiatric/Mental Health Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WP0808X AC007120 MD Primary

Addresses

Primary practice location

6305 Ivy LN Ste 101
Greenbelt, MD 20770-6326

Mailing address

309 E Rhinehill Rd SE
Atlanta, GA 30315-7401
Phone (678) 749-5480

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Atlanta Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241126002256 DC Practitioner - Nurse Practitioner 2567997638 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN132238GAMDPsychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Wellness Source LLC Multi-Specialty CurrentSince Nov 15, 2024 Accepting new patients
Dooley Edwards Behavioral Health & Counseling Services Current Accepting new patients

Locations

6305 Ivy Ln
Ste 101
Greenbelt, MD 20770
Phone (301) 235-0060

4301 Garden City Dr
Ste 304
Hyattsville, MD 20785
Phone (301) 235-0060

Interoperability endpoints

  • Direct secure messaging: harolyn.dooley.edwards.1@32304.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1619644499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E RHINEHILL RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157401",
            "telephone_number": "678-749-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 101",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706326",
            "telephone_number": "301-235-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY EDWARDS",
        "first_name": "HAROLYN",
        "name_prefix": "Mrs.",
        "credential": "MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-27",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN132238",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC007120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Atlanta",
            "affiliation": "N",
            "endpointDescription": "Harolyn Dooley Edwards",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "6305 Ivy Ln Ste 101",
            "city": "Greenbelt",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207706326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenbelt, MD

Sources for this page

Verify at the official NPI Registry.