Trena Leigh Edwards, LPC-S

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

7315 Issued in LA

Practice address

3616 Youree Dr
Shreveport, LA 71105-2122

Phone

(318) 779-0104

Fax

(318) 421-3193

NPI assigned

Jun 9, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Reef Wellness

  • Professional Counselor
  • Shreveport, LA
  • NPI 1417574237
  NPD Authorized official

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1699390302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 WILLOWWICK CT",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711184521",
            "telephone_number": "318-935-9585",
            "fax_number": "318-421-3193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3616 YOUREE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711052122",
            "telephone_number": "318-779-0104",
            "fax_number": "318-421-3193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TRENA",
        "middle_name": "LEIGH",
        "credential": "LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-09",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "7315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Edwards, LOTR
• Kristyn Turner Edwards
• Laquithlyn Edwards
• Nancy P Edwards, R.PH.
• Remerson Edwards Jr.
• Ulissa Samone Edwards
• Edwards' Personal Care Attendant Services, L.L.C.
• Jennifer Grisham Efferson, FNP-C
• Jordan W. Eggers, MD
• Jane Marie Eggerstedt, M.D.

• Mental Health Counselor in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Mental Health Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.