Individual provider Active NPI

Timika S Edwards, PHD

  • Counseling Psychologist
  • Saint Louis, MO
National Provider Identifier
1780057810
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
2014040973 Issued in MO
Practice address
7110 Oakland Ave Ste 105
Saint Louis, MO 63117-1870
Phone
(314) 270-2343
Fax
(314) 925-9727
NPI assigned
Nov 11, 2015
Last updated
Jun 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2014040973 MO
Counseling Psychologist 103TC1900X 2014040973 MO Primary

Addresses

Primary practice location

7110 Oakland Ave Ste 105
Saint Louis, MO 63117-1870

Mailing address

PO Box 430175
Saint Louis, MO 63143-0275
Phone (314) 270-2343

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

LicenseStateTypeSpecialty
2014040973MOMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tse Psychological Services LLC Counseling CurrentSince Oct 20, 2024 Accepting new patients

Locations

7110 Oakland Ave
Saint Louis, MO 63117
Phone (314) 270-2343

7110 Oakland Ave
Ste 105
Saint Louis, MO 63117
Phone (314) 884-0779

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1780057810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430175",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631430275",
            "telephone_number": "314-270-2343",
            "fax_number": "314-925-9727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 OAKLAND AVE STE 105",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171870",
            "telephone_number": "314-270-2343",
            "fax_number": "314-925-9727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "TIMIKA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MO",
            "license": "2014040973",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "MO",
            "license": "2014040973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.