Carolyn Yvonne Edwards

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LH60983439 Issued in WA

Practice address

309 E Main St Ste 8
Auburn, WA 98002-5540

Phone

(808) 371-3165

NPI assigned

Mar 25, 2016

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 names 1

• Mrs. Carolyn Yvonne Carr Former name

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

Enrolled

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.

• Wonderful Christian Counseling PLLC

  • Mental Health Counselor
  • Auburn, WA
  • NPI 1396503280
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1458864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726444800000",
    "number": "1881056141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13116 SE 306TH PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923406",
            "telephone_number": "808-371-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 E MAIN ST STE 8",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025540",
            "telephone_number": "808-371-3165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "CAROLYN",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-25",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60983439",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "CG60637119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "CARR",
            "middle_name": "YVONNE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ear Nose Throat & Plastic Surgery Associates Inc
• Ear Nose Throat and Plastic Surgery Associates of the South Sound PS
• Helen Ann Eby
• Bryce Alan Eddington
• Rebecca Edler
• Karen Ann Kile Edwards
• Renee Devon Edwards
• Symone Larisa Edwards, BA, RN
• Trishelle Rose Edwards
• Bonnie Eliza Egerer, MA

• Mental Health Counselor in Auburn, WA
• Providers in Auburn, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.