Melissa Alberta Edwards, CAC-AD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

AC3227 Issued in MD

Practice address

280 Stafford Rd
Prince Frederick, MD 20678-3582

Phone

(410) 535-3079

NPI assigned

Aug 23, 2023

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

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.

• Rise Again Recovery Services

  • Addiction (Substance Use Disorder) Counselor
  • Lusby, MD
  • NPI 1629918578
  NPD Authorized official

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

{
    "created_epoch": "1692748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1720862592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11656 COWPOKE CIR",
            "city": "LUSBY",
            "state": "MD",
            "postal_code": "206574856",
            "telephone_number": "240-274-9662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 STAFFORD RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783582",
            "telephone_number": "410-535-3079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "MELISSA",
        "middle_name": "ALBERTA",
        "credential": "CAC-AD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-23",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "AC3227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwi Services Inc
• Dwi Services, Inc
• Dwi Services, Inc
• Jennifer L Edwards, LCPC
• Lavonne Edwards, PA
• Brittanie Lee Eggan, P.A.
• Wilfred R Ehrmantraut Jr., MD
• Kanayo Ekeada, PHARMD
• Amanda E Eller, P.T.D.P.T.
• Betty Trout Elliott

• Addiction (Substance Use Disorder) Counselor in Prince Frederick, MD
• Providers in Prince Frederick, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.