Organization Active NPI

Jennifer Edwards Counseling Services

  • Adolescent and Children Mental Health Clinic/Center
  • Gilbert, AZ
National Provider Identifier
1881192896
Registry record updated Jan 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
JENNIFER EDWARDS COUNSELING SERVICES
Practice address
2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764
Phone
(480) 577-3614
Fax
(480) 478-8758
NPI assigned
Jan 24, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2018

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

Authorized official

Name
Jennifer Edwards, LPC
Title
Licensed Professional Counselor/Own
Phone
(480) 577-3614

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764

Mailing address

2200 E Williams Field Rd Ste 200
Gilbert, AZ 85295-0764
Phone (480) 577-3614

Other identifiers 1

IdentifierTypeStateIssuer
1609263250MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516752000000",
    "number": "1881192896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E WILLIAMS FIELD RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950764",
            "telephone_number": "480-577-3614",
            "fax_number": "480-478-8758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WILLIAMS FIELD RD STE 200",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950764",
            "telephone_number": "480-577-3614",
            "fax_number": "480-478-8758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER EDWARDS COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-01-24",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR/OWN",
        "authorized_official_telephone_number": "480-577-3614",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609263250",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2018; 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.