Jennifer L Edwards, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

985 Prince Frederick Blvd Ste 201
Prince Frederick, MD 20678-4020

Phone

(410) 535-2005

Fax

(410) 535-4850

NPI assigned

Sep 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennfier L Michener Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: jedwards@calvertinternalmedicine.medentdirect.com

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.

• Calvert Internal Medicine Group PA

  • Internal Medicine Physician
  • Prince Frederick, MD
  • NPI 1174682298
  NPD (past)

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

{
    "created_epoch": "1632787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632787200000",
    "number": "1679244776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784020",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 PRINCE FREDERICK BLVD STE 201",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784020",
            "telephone_number": "410-535-2005",
            "fax_number": "410-535-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-28",
        "last_updated": "2021-09-28",
        "certification_date": "2021-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNFIER",
            "last_name": "MICHENER",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Duffy
• Samantha Dumesnil
• Dwi Services Inc
• Dwi Services, Inc
• Dwi Services, Inc
• Lavonne Edwards, PA
• Melissa Alberta Edwards, CAC-AD
• Brittanie Lee Eggan, P.A.
• Wilfred R Ehrmantraut Jr., MD
• Kanayo Ekeada, PHARMD

• Professional Counselor in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; 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.