Connie C. Edmondson, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1508 Issued in OK

Practice address

6801 Broadway Ext
Ste 320
Oklahoma City, OK 73116-9037

Phone

(405) 843-1551

Fax

(405) 843-1494

NPI assigned

Aug 8, 2006

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

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Edmondson Counseling Services PCGroup PAC ID 6800946831, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Edmondson Counseling Services, PC

  • Mental Health Counselor
  • Oklahoma City, OK
  • NPI 1447328489
  Medicare reassignment Care Compare group Authorized official
• Sally Ray Inc

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1285825356
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571184000000",
    "number": "1730199167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6801 BROADWAY EXT",
            "address_2": "STE 320",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169037",
            "telephone_number": "405-843-1551",
            "fax_number": "405-843-1494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 BROADWAY EXT",
            "address_2": "STE 320",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731169037",
            "telephone_number": "405-843-1551",
            "fax_number": "405-843-1494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "CONNIE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-08",
        "last_updated": "2019-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth N Edling, LPC
• Edmed
• William Bentley Edmonds, M.D.
• Edmondson Counseling Services, PC
• Brian Thomas Edmondson, LCSW
• Emily Edmondson
• Raquel Maria Louisa Edmondson, DNP
• Ashley Edmonson
• Wendell Shane Edmonson, PHARMD
• Edna'S Counseling LLC

• Mental Health Counselor in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.