Active NPI
Diana Selsor Edwards, PH.D., LPCC
- Professional Counselor
- Silver City, NM
National Provider Identifier
1730418575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0125281
- Practice address
- 802 W 7TH St
Silver City, NM 88061-4509 - Phone
- (575) 388-1258
- NPI assigned
- Dec 7, 2009
- Last updated
- Dec 7, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0125281 | NM | Primary |
Addresses
Primary practice location
802 W 7TH St
Silver City, NM 88061-4509
Mailing address
802 W 7TH St
Silver City, NM 88061-4509
Phone (575) 388-1258
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0125281 | NM | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1730418575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 W 7TH ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880614509",
"telephone_number": "575-388-1258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 W 7TH ST",
"city": "SILVER CITY",
"state": "NM",
"postal_code": "880614509",
"telephone_number": "575-388-1258"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "DIANA",
"middle_name": "SELSOR",
"name_prefix": "Dr.",
"credential": "PH.D., LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-12-07",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NM",
"license": "0125281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Silver City, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.