Edrica McDowell

Primary specialty

CounselorTaxonomy code 101Y00000X

License

178.004949 Issued in IL

Practice address

17842 Canaville Rd
Creal Springs, IL 62922-2809

Phone

(618) 923-4112

NPI assigned

Sep 3, 2008

Last updated

Apr 5, 2010By the provider in NPPES

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

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": "1220400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1982852075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17842 CANAVILLE RD",
            "city": "CREAL SPRINGS",
            "state": "IL",
            "postal_code": "629222809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17842 CANAVILLE RD",
            "city": "CREAL SPRINGS",
            "state": "IL",
            "postal_code": "629222809",
            "telephone_number": "618-923-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOWELL",
        "first_name": "EDRICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-03",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178.004949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Elaine Benson, MA, LCPC
• Katie Suzann Conner, M.S. OTR/L
• Tammy Needham
• Adam Pearson, L.C.P.C
• Heather Renee Schuessler
• Shawnee Health Service and Development Corp (Adams School Health Center)
• Lara Lee Taylor

• Counselor in Creal Springs, IL
• Providers in Creal Springs, IL by specialty
• Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; 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.