Holly Edwards, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

3120 W Britton Rd Ste 201
Oklahoma City, OK 73120-2038

Phone

(405) 896-0642

NPI assigned

Aug 11, 2016

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Southern Nazarene University

  • Mental Health Counselor
  • Bethany, OK
  • NPI 1871069245
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1821542416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 W BRITTON RD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202038",
            "telephone_number": "405-896-0642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 W BRITTON RD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731202038",
            "telephone_number": "405-896-0642"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6612 NW 42nd St",
            "address_purpose": "LOCATION",
            "city": "Bethany",
            "state": "OK",
            "postal_code": "730082764",
            "country_code": "US",
            "telephone_number": "405-717-6200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "HOLLY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-11",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dekoven M Edwards Jr.
• Desti Shepard Edwards, PHD
• Diettra Yvonne Edwards, CBHCM
• Eric Bernard Edwards, MSW
• Heather Danielle Edwards, PHARMD
• Hope Edwards, LCSW
• Jalisa Edwards
• Jasmin Edwards
• Jennifer Leigh Edwards, PT
• Karla A Edwards, L.C.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2019; 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.