Leon Rennoda Edwards, B.S.W., M.SS.W, D.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5504-LCSW Issued in TN

Practice address

3585 Austin Peay Hwy Suite #112
Suite 112
Memphis, TN 38128

Phone

(901) 229-6565

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• 180 Health Partners , Inc

  • Clinical Social Worker
  • Nashville, TN
  • NPI 1851811830

  Mental Health

  NPD
• Impact Behavioral Counseling LLC

  • Addiction (Substance Use Disorder) Counselor
  • Jackson, TN
  • NPI 1386169050

  Mental Health

  NPD
• Step Up Care of Tennessee LLC

  • Psychologist
  • Memphis, TN
  • NPI 1023660206
  NPD

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1982828158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810 PINEVIEW ROAD APT #103",
            "address_2": "APT #103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38125",
            "telephone_number": "901-229-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 AUSTIN PEAY HWY SUITE #112",
            "address_2": "SUITE 112",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38128",
            "telephone_number": "901-229-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "LEON",
        "middle_name": "RENNODA",
        "credential": "B.S.W., M.SS.W, D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5504-LCSW",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5504-LCSW",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helen C. Edwards
• Howard C Edwards Jr., PHARM.D.
• Kem Edwards
• Laken A Edwards, BCBA
• Latoya A Edwards, BS
• Lindsey Edwards, SLP
• Mary Elizabeth Edwards, PHARMD
• Myron Edwards, LADAC II
• Okessa Edwards, M.ED
• Price Trapp Edwards, MD

• Mental Health Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.