Active NPI
Harvey A Edwards IV, LPC
- Professional Counselor
- Northport, AL
National Provider Identifier
1649456831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2791
- Practice address
- 3665 Watermelon Road
Northport, AL 35473 - Phone
- (205) 246-2911
- NPI assigned
- Jan 17, 2008
- Last updated
- Apr 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2791 | AL | Primary |
Addresses
Primary practice location
3665 Watermelon Road
Northport, AL 35473
Mailing address
3665 Watermelon Road
Northport, AL 35473
Phone (305) 246-2911
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2791 | AL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tuscaloosa Counseling, LLC | Professional | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Northport, AL
- NPI 1083930804
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1649456831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3665 WATERMELON ROAD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "35473",
"telephone_number": "305-246-2911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3665 WATERMELON ROAD",
"city": "NORTHPORT",
"state": "AL",
"postal_code": "35473",
"telephone_number": "205-246-2911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "HARVEY",
"middle_name": "A",
"name_suffix": "IV",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-17",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "2791",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Northport, AL
- John David Eaton, MD MPH
- Robert W Eaton, DO
- Kathy Benitez Echols, PH.D., LPC
- Linda Nicole Edmonds, MSOTR
- Harvey A Edwards, M.D.
- Shelly Lynn Edwards, LCSW
- Avery Morgan Elkins, M.S., CCC-SLP
- Elizabeth C Emig, M.D.
- Encore Rehabilitation, Inc. (Encore Rehab of Northport)
- Endocrine Associates of West Alabama, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.