Jessica Lee Edge, LMHC, CHW – Mental Health Counselor

Key facts

NPI: 1851112965
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: CTB-2024-0650 (NM)
Practice address: 3949 Corrales Rd Ste 205
Corrales, NM 87048-9348
Phone: (505) 385-0439
NPI assigned: Oct 21, 2024
Sex: Female
Sole proprietor: Yes

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 and National Provider Directory roles.

New Mexico Counseling Center Community/Behavioral Health Agency · Corrales, NM · NPI 1134411259

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
CTB-2024-0650	NM	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
New Mexico Counseling Center		Current since Oct 27, 2024	Accepting new patients

Locations

3949 Corrales Rd
Ste 205
Corrales, NM 87048
Phone (505) 385-0439

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	CTB-2024-0650	NM	Yes

Addresses

Primary practice location

3949 Corrales Rd Ste 205
Corrales, NM 87048-9348

Mailing address

PO Box 521
Cedar Crest, NM 87008-0521
Phone (720) 471-9752

Other providers in Corrales, NM

All providers in Corrales, NM · Mental Health Counselor in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.