Edward A Saddy, M.A., LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

64054 Issued in TX

Practice address

610 Methodist Encampment Rd Ste 17
Kerrville, TX 78028-2834

Phone

(737) 206-1277

NPI assigned

Apr 4, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Interoperability endpoints

• Direct secure messaging: edward.saddy.1@10964.direct.athenahealth.com

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

{
    "created_epoch": "1270339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1700101649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 HILL COUNTRY DR APT 2103",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780285962",
            "telephone_number": "737-206-1277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 METHODIST ENCAMPMENT RD STE 17",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780282834",
            "telephone_number": "737-206-1277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Elizabeth Rd",
            "address_purpose": "LOCATION",
            "city": "Terrell Hills",
            "state": "TX",
            "postal_code": "782096139",
            "country_code": "US",
            "telephone_number": "210-214-3605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SADDY",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "M.A., LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-04",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "64054",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "64054",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "64054",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "64054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700101649",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.