Edwin Costin Hardison, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6123 Issued in FL

Practice address

221 Pauls Dr Ste a
Brandon, FL 33511-3897

Phone

(813) 685-2221

Fax

(813) 681-2208

NPI assigned

Jan 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Eddie Hardison Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• The Stein Wellness Center, Inc.

  • Mental Health Counselor
  • Brandon, FL
  • NPI 1972838704
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982740262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 PAULS DR STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113897",
            "telephone_number": "813-685-2221",
            "fax_number": "813-681-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 PAULS DR STE A",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113897",
            "telephone_number": "813-685-2221",
            "fax_number": "813-681-2208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "EDWIN",
        "middle_name": "COSTIN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDDIE",
            "last_name": "HARDISON",
            "credential": "LMHC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeffrey Ann Hanley
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• Caleb James Hansen, MD
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• Cierra Jessica Harden, PHARMD
• Elizabeth Lynn Hargett, SLP
• Brittany Hargrove
• Rodney Harley, PHD, CAP
• Terryann Rose Harley
• Kara Harlow

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.