Edmondson Family Therapy

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

5028 Issued in OK

Legal business name

EDMONDSON FAMILY THERAPY

Practice address

1015 Waterwood Pkwy
Suite G, L-2
Edmond, OK 73034-5327

Phone

(405) 315-7093

NPI assigned

Oct 29, 2013

Last updated

Oct 29, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Erin Edmondson, MA, LPC, LADC, CMIIINPI 1033404876

Title

Licensed Professional Counselor

Phone

(405) 315-7093

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Erin Edmondson, LPC, LADC, CMIII

  • Counselor
  • Edmond, OK
  • NPI 1033404876
  Authorized official Same address or phone

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1659709608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 WATERWOOD PKWY",
            "address_2": "SUITE G, L-2",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345327",
            "telephone_number": "405-315-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 WATERWOOD PKWY",
            "address_2": "SUITE G, L-2",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345327",
            "telephone_number": "405-315-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDMONDSON FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "EDMONDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "405-315-7093",
        "authorized_official_credential": "MA, LPC, LADC, CMIII"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "1067",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OK",
            "license": "5028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edmond Public Schools
• Edmond Regional Eye Associates Inc
• Edmond Speech Therapy LLC
• Edmond Urgent Care Inc.
• Edmond Wheelchair Repair & Supply, LLC
• Jennifer Erin Edmondson, LPC, LADC, CMIII
• Edward C Holmes Chiropractic PC
• Edwards Clinic of Chiropractic P.C.
• Paula L. Edwards-Gayfield, LPC
• Carolyn J Edwards-Smith, MA

• Community/Behavioral Health Agency in Edmond, OK
• Providers in Edmond, OK by specialty
• Community/Behavioral Health Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.