Individual provider Active NPI

Kiona Edwards, MA, LCAT, ATR-BC

  • Art Therapist
  • Rockville Centre, NY
National Provider Identifier
1699652479
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Art TherapistTaxonomy code 221700000X
License
P120722 Issued in NY
Practice address
77 N Centre Ave Ste 310
Rockville Centre, NY 11570-3923
Phone
(516) 740-1950
NPI assigned
Aug 21, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X P120722 NY Primary

Addresses

Primary practice location

77 N Centre Ave Ste 310
Rockville Centre, NY 11570-3923

Mailing address

304 Iron Ridge Loop Apt 1
Asheville, NC 28806-0350
Phone (850) 226-2779

Other practice location 1

304 Iron Ridge Loop Apt 1
Asheville, NC 28806-0350
Phone (850) 226-2779

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
P120722NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wise Mind Psychological Services P.L.L.C. CurrentSince Aug 25, 2025 Accepting new patients

Locations

77 N Centre Ave
Ste 310
Rockville Ctr, NY 11570
Phone (516) 740-1590

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.

NPI Registry JSON

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

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1699652479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 IRON RIDGE LOOP APT 1",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288060350",
            "telephone_number": "850-226-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N CENTRE AVE STE 310",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703923",
            "telephone_number": "516-740-1950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Iron Ridge Loop Apt 1",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288060350",
            "country_code": "US",
            "telephone_number": "850-226-2779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "KIONA",
        "credential": "MA, LCAT, ATR-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NY",
            "license": "P120722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.