Nicole Edwards, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18458 Issued in FL

Practice address

5725 Corporate Way Ste 206
West Palm Beach, FL 33407-2035

Phone

(754) 307-6810

NPI assigned

Oct 24, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Solriver Counseling LLC

  • Community/Behavioral Health Agency
  • Cape Coral, FL
  • NPI 1225792401
  Medicare reassignment NPD Authorized official
• Empowered Woman, LLC

  • Mental Health Counselor
  • Miami Beach, FL
  • NPI 1336748540
  NPD (past) Authorized official

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1871004374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5725 CORPORATE WAY STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072035",
            "telephone_number": "330-705-3379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5725 CORPORATE WAY STE 206",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072035",
            "telephone_number": "754-307-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2021-11-30",
        "certification_date": "2021-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18458",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15611",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "86-1259593",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicole@solrivercounseling.com",
            "affiliation": "N",
            "endpointDescription": "nicole@solrivercounseling.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5725 Corporate Way Ste 206",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334072035",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "nicole@solrivercounseling.com",
            "affiliation": "N",
            "endpointDescription": "nicole@solrivercounseling.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5725 Corporate Way Ste 206",
            "city": "West Palm Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334072035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Chauntoyia Janae Lavette Edwards, NBHWC, CPSS
• Diane Edwards
• Esme Edwards
• Janie Edwards
• Nesha-Gay Joan Edwards, DO
• Selena Egues Ramos
• Carla Ehrbar
• Jillian Eicholtz
• Dov I Eidelman, MD
• Elizabeth Sarah Eisenberg

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.