Active NPI
Lee Andrew Edwards, PH.D.
- Counseling Psychologist
- Austin, TX
National Provider Identifier
1821211301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 24954
- Practice address
- 1011 W 31St St Ste 512
Austin, TX 78705-2026 - Phone
- (512) 694-1322
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 24954 | TX | Primary |
Addresses
Primary practice location
1011 W 31St St Ste 512
Austin, TX 78705-2026
Mailing address
1011 W 31St St Ste 512
Austin, TX 78705-2026
Phone (512) 694-1322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014JB | Other | TX | BLUE CROSS BLUE SHIELD TX |
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 |
|---|---|---|---|
| 24954 | TX | MD | Counseling Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1821211301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 W 31ST ST STE 512",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787052026",
"telephone_number": "512-694-1322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 W 31ST ST STE 512",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787052026",
"telephone_number": "512-694-1322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "LEE",
"middle_name": "ANDREW",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "24954",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD TX",
"identifier": "0014JB",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.