Active NPI
Matthew Lee Edge, LPC-ASSOCIATE, MS
- Mental Health Counselor
- Carrollton, TX
National Provider Identifier
1831706084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 83329
- Practice address
- 3740 N Josey LN
Carrollton, TX 75007-2474 - Phone
- (469) 501-7431
- NPI assigned
- Sep 30, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 83329 | TX | Primary |
Addresses
Primary practice location
3740 N Josey LN
Carrollton, TX 75007-2474
Mailing address
6010 Milton St # 3310
Dallas, TX 75206-9107
Phone (830) 708-0622
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 83329 | TX | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601424000000",
"number": "1831706084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6010 MILTON ST # 3310",
"city": "DALLAS",
"state": "TX",
"postal_code": "752069107",
"telephone_number": "830-708-0622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3740 N JOSEY LN",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750072474",
"telephone_number": "469-501-7431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGE",
"first_name": "MATTHEW",
"middle_name": "LEE",
"credential": "LPC-ASSOCIATE, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-30",
"last_updated": "2020-09-30",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "83329",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.