Stephanie Jo Edmondson, LPC-MHSP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2470 Issued in TN

Practice address

4101 E Pierce St
Phoenix, AZ 85008-6413

Phone

(423) 284-5926

Fax

(866) 583-8017

NPI assigned

Mar 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650326400000",
    "number": "1942523253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 E PIERCE ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086413",
            "telephone_number": "423-284-5926",
            "fax_number": "866-583-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 E PIERCE ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850086413",
            "telephone_number": "423-284-5926",
            "fax_number": "866-583-8017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Cherokee Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374053865",
            "country_code": "US",
            "telephone_number": "423-284-5926",
            "fax_number": "866-583-8017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3069 Broad St",
            "address_2": "Suite 7i",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374083047",
            "country_code": "US",
            "telephone_number": "423-284-5926",
            "fax_number": "866-583-8017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EDMONDSON",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "name_prefix": "Ms.",
        "credential": "LPC-MHSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2022-04-19",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "LPC0000002470",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2470",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL CERTIFICATION",
            "identifier": "259422",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001722",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://portal.therapyappointment.com/index.cfm/practice:main/view",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4101 E Pierce St",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850086413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marcie Helene Edmonds, MC, LPC
• Seaun Daniel Edmonds Sr., MS
• Victoria Susan Edmonds, MD
• Kassandra Edmondson
• Sarah L Edmondson
• Sara Joyce Edmund, DNP
• Edna'S Counseling Center of Hope
• Trent W Edstrom, NURSE PRACTITIONER
• Educational Therapy Services
• Edward a. Madrid, DC, PC

• Mental Health Counselor in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.

Verify at the official NPI Registry.