Active NPI
Katrina Edmonds, LMFT
- Marriage & Family Therapist
- Elkins Park, PA
National Provider Identifier
1902554066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MF000766
- Practice address
- 1800 Ashbourne Rd
Virtual Practice
Elkins Park, PA 19027 - Phone
- (267) 766-3188
- Fax
- (267) 774-5105
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MF000766 | PA | Primary |
Addresses
Primary practice location
1800 Ashbourne Rd
Virtual Practice
Elkins Park, PA 19027
Mailing address
PO Box 7169
Elkins Park, PA 19027-0169
Phone (267) 766-3188
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 |
|---|---|---|---|
| MF000766 | PA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1902554066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7169",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190270169",
"telephone_number": "267-766-3188",
"fax_number": "267-774-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 ASHBOURNE RD",
"address_2": "VIRTUAL PRACTICE",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "19027",
"telephone_number": "267-766-3188",
"fax_number": "267-774-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDMONDS",
"first_name": "KATRINA",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "PA",
"license": "MF000766",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkins Park, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.