Organization Active NPI

Edgewater Gazette Inc

Doing business as The Treasure Grid

  • Pastoral Counselor
  • Daytona Beach, FL
National Provider Identifier
1720659709
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pastoral CounselorTaxonomy code 101YP1600X
Legal business name
EDGEWATER GAZETTE INC
Doing business as
The Treasure Grid
Practice address
1700 W International Speedway Blvd Ste 404
Daytona Beach, FL 32114-1361
Phone
(386) 281-1798
NPI assigned
Jul 9, 2021
Last updated
Dec 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2025

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

Authorized official

Name
Dr. Kerry Bryant Lewis, MINISTER, MINISTRYNPI 1992376966
Title
Ceo
Phone
(386) 281-1798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X NU Primary

Addresses

Primary practice location

1700 W International Speedway Blvd Ste 404
Daytona Beach, FL 32114-1361

Mailing address

1700 W International Speedway Blvd Ste 404
Daytona Beach, FL 32114-1361
Phone (386) 281-1798

Other identifiers 1

IdentifierTypeStateIssuer
06051991OtherFLFREE

Other names 1

  • The Treasure Grid Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kerrylewis052@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

1700 W International Speedway Blvd
Ste 404
Daytona Beach, FL 32114
Phone (356) 257-4311

255 Bill France Blvd
Daytona Beach, FL 32114

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766707200000",
    "number": "1720659709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 W INTERNATIONAL SPEEDWAY BLVD STE 404",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141361",
            "telephone_number": "386-281-1798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 W INTERNATIONAL SPEEDWAY BLVD STE 404",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141361",
            "telephone_number": "386-281-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER GAZETTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-12-26",
        "certification_date": "2025-12-26",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "KERRY",
        "authorized_official_middle_name": "BRYANT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-281-1798",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MINISTER, MINISTRY"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREE",
            "identifier": "06051991",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kerrylewis052@gmail.com",
            "affiliation": "N",
            "endpointDescription": "kerrylewis052@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "725 S Alvarado St Apt 301",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900574313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Treasure Grid",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.