John Wayne Edwards, NCC, LPC, LMFT, LCAS

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1501 Issued in NC

Practice address

242 S Bragg Blvd
Spring Lake, NC 28390-3929

Phone

(910) 916-7881

Fax

(910) 436-5343

NPI assigned

Jan 3, 2013

Last updated

Jul 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• New Hope Counseling Associates PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Spring Lake, NC
  • NPI 1396514238
  NPD Authorized official

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658448000000",
    "number": "1801133350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 S BRAGG BLVD",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903929",
            "telephone_number": "910-916-7881",
            "fax_number": "910-436-5343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 S BRAGG BLVD",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283903929",
            "telephone_number": "910-916-7881",
            "fax_number": "910-436-5343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JOHN",
        "middle_name": "WAYNE",
        "credential": "NCC, LPC, LMFT, LCAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-03",
        "last_updated": "2022-07-22",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20174",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "9504",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr Roman and Associates (CarolinasDentist.com)
• Dr. Vincent Vissichelli & Associates, D.M.D., P.a. (Firehouse Kid's Dentistry)
• Tina Marie Driscoll, D.C.
• Easter Seals Ucp North Carolina & Virginia
• Easter Seals Ucp North Carolina & Virginia
• Kelsey Edwards
• Lisa Elliott, ARDMS
• Vonda Elliott, LCSW
• Sandra Ellis
• Embracing Light Home Care LLC

• Marriage & Family Therapist in Spring Lake, NC
• Providers in Spring Lake, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2022; 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.