Gina Copeland Edwards, MA, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16654 Issued in TX

Practice address

1679 Willamette St
Eugene, OR 97401-4013

Phone

(541) 525-2332

NPI assigned

Jul 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Doctor of Philosophy

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.

• Gina Edwards, PHD, LLC

  • Mental Health Counselor
  • Eugene, OR
  • NPI 1881120517
  NPD (past) Authorized official

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1730186438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3332 SOUTHVIEW DR",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974056243",
            "telephone_number": "541-525-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 WILLAMETTE ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974014013",
            "telephone_number": "541-525-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "GINA",
        "middle_name": "COPELAND",
        "name_prefix": "Dr.",
        "credential": "MA, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "16654",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C4416",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Large Edstrom, BSN CFNP MED
• Edward M. Thatcher
• Albert Owen Edwards, MD, PHD
• Corie Rose Edwards, N.D.
• Falyn Edwards
• Jeannie E Edwards, LMT
• Kimberly Ann Edwards, M.D.
• Laura Kathleen Edwards, LMT
• Melissa D. Edwards, MD
• Jennifer Egbe

• Mental Health Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.