Jonathan Edwards, M.ED, NCC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

PC009411 Issued in PA

Practice address

2214 N Atherton St
Suite 4
State College, PA 16803-1544

Phone

(814) 237-0567

Fax

(814) 237-0569

NPI assigned

Jan 31, 2017

Sex

Male

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

Credentials

Master of Education

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centre Marriage and Relational Therapy, LLC

  • Marriage & Family Therapist
  • Bellefonte, PA
  • NPI 1598122590
  NPD (past)
• Individual and Family Choices Program

  • Community/Behavioral Health Agency
  • State College, PA
  • NPI 1134458276
  NPD (past)

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1871030668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 N ATHERTON ST",
            "address_2": "SUITE 4",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031544",
            "telephone_number": "814-237-0567",
            "fax_number": "814-237-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 N ATHERTON ST",
            "address_2": "SUITE 4",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168031544",
            "telephone_number": "814-237-0567",
            "fax_number": "814-237-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JONATHAN",
        "credential": "M.ED, NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC009411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Ebert, DPT
• Alexandra Celeste Ebken, LCSW
• Ruben Echemendia
• Bernard V Eck, RPH, CACP
• Edwards Chiropractic, LLC
• Matthew Richard Eernisse, OD
• Jessica Crysten Effrig, PH.D.
• Troyanna Egan, PA-C
• Rebecca B Egbert, LPC
• Lois Ann Ehrmann, PHD

• Mental Health Counselor in State College, PA
• Providers in State College, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.