Active NPI
Stephen Thomas Edwards II, LMFT, BCPC
- Marriage & Family Therapist
- Brandon, FL
National Provider Identifier
1700909587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT1552
- Practice address
- 306 W Sadie St
Brandon, FL 33510-4440 - Phone
- (813) 677-4040
- Fax
- (813) 677-4005
- NPI assigned
- Apr 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT1552 | FL | Primary |
Addresses
Primary practice location
306 W Sadie St
Brandon, FL 33510-4440
Mailing address
306 W Sadie St
Brandon, FL 33510-4440
Phone (813) 949-9594
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768633100 | Medicaid | FL |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT1552 | FL | MD | Marriage & Family Therapist |
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622160000000",
"number": "1700909587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "306 W SADIE ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104440",
"telephone_number": "813-949-9594",
"fax_number": "813-677-4040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 W SADIE ST",
"city": "BRANDON",
"state": "FL",
"postal_code": "335104440",
"telephone_number": "813-677-4040",
"fax_number": "813-677-4005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "STEPHEN",
"middle_name": "THOMAS",
"name_suffix": "II",
"credential": "LMFT, BCPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-09",
"last_updated": "2021-05-28",
"certification_date": "2021-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1552",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "768633100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.