JENNIFER EDWARDS (NPI# 1063870343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063870343 |
| Entity Type | Individual |
| Full Name | JENNIFER EDWARDS |
| Credential | M.A., LPCC, R-DMT |
| Practice Address |
3104 Bayer St Apartment 13 Marina CA 93933-3403 |
| Mailing Address |
3104 Bayer St Marina CA 93933-3403 |
| Practice Telephone | 8313243667 |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
2700 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104450139 | Jennifer Edwards | Speech-Language Pathologist | 700 W Stevens St, Carlsbad, NM 88220-4958 | 2020-02-28 |
| 1659918597 | Jennifer Elise Edwards | Social Worker | 3090 Beechtree Ln, Flushing, MI 48433-1941 | 2019-12-10 |
| 1821655143 | Jennifer Paige Edwards | Psychologist | 4949 Oakdale Rd Se Apt 311, Smyrna, GA 30080-7163 | 2019-05-22 |
| 1033656020 | Jennifer Edwards | Acupuncturist | 6902 Se Lake Rd Ste 203, Milwaukie, OR 97267-2148 | 2017-01-27 |
| 1730531203 | Jennifer C. Edwards | Nurse Practitioner | 4060 East Stevens Way Ne, Seattle, WA 98195-5569 | 2016-07-08 |
| 1811351232 | Jennifer Edwards | Marriage & Family Therapist | 1900 Church St Ste 319, Nashville, TN 37203-2234 | 2016-04-12 |
| 1295101251 | Jennifer Beth Edwards | Specialist/Technologist | 1001 Locust St, Kansas City, MO 64106-1904 | 2015-08-13 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1659615672 | Jennifer Edwards | Speech-Language Pathologist | 8305 Switzer St, Overland Park, KS 66214-1620 | 2012-11-15 |
| 1134432958 | Jennifer Rosen Edwards | Speech-Language Pathologist | 1706 Ridgecrest Dr Se, Albuquerque, NM 87108-4439 | 2010-07-21 |
| Street Address |
3104 BAYER ST APARTMENT 13 |
| City | MARINA |
| State | CA |
| Zip Code | 93933-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803012 | Caterina Poehner | Social Worker | 617 Bayonet Cirle, Marina, CA 93933 | 2020-08-28 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1588110340 | Monique Theaker | Counselor | 299b Twelfth Street, Marina, CA 93933 | 2016-08-31 |
| 1053709220 | Mehry Khazan | Marriage & Family Therapist | 299 Twelfth Street, Marina, CA 93933 | 2014-12-22 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1881037141 | Marilyn Anderson | Counselor | 3043 Macarthur Dr, Marina, CA 93933 | 2013-04-16 |
| 1669744280 | Leslie Penley | Dentist | 3154 Deforest Rd. Suitea, Marina, CA 93933 | 2012-01-27 |
| 1215221510 | Janet Hernandez Barajas | Social Worker | 299a 12th Street, Marina, CA 93933 | 2011-06-03 |
| 1538302740 | Sonia Cortes | Counselor | 613 Bayonet Cir., Marina, CA 93933 | 2009-04-17 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| Find all providers in zip 93933 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018081 | Dennica Marie Domingo Paguio | Counselor | 3039 Marina Dr Unit 15, Marina, CA 93933-2955 | 2019-11-20 |
| 1194217141 | Maria Martinez-navarro | Counselor | 3016 Lexington Ct, Marina, CA 93933-4735 | 2018-06-05 |
| 1972036499 | Stephanie Blalock | Counselor | 617 Bayonet Circle, Marina, CA 93933 | 2017-04-11 |
| 1306241476 | Tiffany Avery | Counselor | 299 12th St Ste B, Marina, CA 93933 | 2014-10-30 |
| 1144476003 | Carolina Cortez | Counselor | 2982 Bayonet Ct, Marina, CA 93933 | 2008-08-12 |
| 1366059685 | Cynthia Merrie Lopez | Counselor | 617 Bayonet Cir, Marina, CA 93933-4600 | 2020-09-30 |
| 1528682820 | Ian Olden | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2020-06-02 |
| 1346875457 | Andrew Louis Cole Candreva | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-03-09 |
| 1407481872 | Matthew D Ferry | Counselor | 601 Bayonet Cir, Marina, CA 93933-4600 | 2020-03-06 |
| 1982236337 | Shinay Razo | Counselor | 299 12th St Ste B, Marina, CA 93933-6003 | 2020-02-04 |
| Find all providers in MARINA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.