Active NPI
Carole Lynne Edwards, LCSW
- Mental Health Counselor
- Richmond, VA
National Provider Identifier
1952054918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0904006526
- Practice address
- 8100 Three Chopt Rd RM 101
Richmond, VA 23229-4833 - Phone
- (804) 351-1881
- NPI assigned
- Jan 31, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 0904006526 | VA | |
| Mental Health Counselor | 101YM0800X | 0904006526 | VA | Primary |
Addresses
Primary practice location
8100 Three Chopt Rd RM 101
Richmond, VA 23229-4833
Mailing address
4668 Twin Hickory Lake Dr
Glen Allen, VA 23059-2587
Phone (804) 221-4658
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 |
|---|---|---|---|
| 0904006526 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643587200000",
"number": "1952054918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4668 TWIN HICKORY LAKE DR",
"city": "GLEN ALLEN",
"state": "VA",
"postal_code": "230592587",
"telephone_number": "804-221-4658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 THREE CHOPT RD RM 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232294833",
"telephone_number": "804-351-1881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "CAROLE",
"middle_name": "LYNNE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-31",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "VA",
"license": "0904006526",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0904006526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
- Adwoa Edusei, RPH
- Edward D Martirosian MD Trading As Henrico Cardiology Associates
- Edward D Martirosian MD, Inc (Henrico Cardiology Associates)
- Edward L. Mollen, M.D., P.C.
- Towanda Edwards-Osborne, LCSW
- Cierra Edwards, PHD
- Janell Edwards, PTA
- Judith S Edwards
- Kathleen Ann Edwards, M.S., CCC-SLP
- Lauren Leigh Edwards, AGACNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.