Active NPI
Edward Stewart II, MSW
- Mental Health Counselor
- Lexington, KY
National Provider Identifier
1851712897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3479 Buckhorn Dr
Lexington, KY 40515-1114 - Phone
- (859) 246-7282
- Fax
- (859) 273-2184
- NPI assigned
- Dec 18, 2013
- Last updated
- Feb 19, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Health Counselor | 101YM0800X | 101YMO800 | KY |
Addresses
Primary practice location
3479 Buckhorn Dr
Lexington, KY 40515-1114
Mailing address
3479 Buckhorn Dr
Lexington, KY 40515-1114
Phone (859) 246-7282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790731081 | Medicaid | KY |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101YMO800 | KY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392768000000",
"number": "1851712897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3479 BUCKHORN DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405151114",
"telephone_number": "859-246-7282",
"fax_number": "859-273-2184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3479 BUCKHORN DR",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405151114",
"telephone_number": "859-246-7282",
"fax_number": "859-273-2184"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEWART",
"first_name": "EDWARD",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-18",
"last_updated": "2014-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "101YMO800",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1790731081",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.