KENDRA D EDWARDS (NPI# 1114497781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114497781 |
| Entity Type | Individual |
| Full Name | KENDRA D EDWARDS |
| Practice Address |
900 Royal Height Rd Suite 2150 Belleville IL 62221 |
| Mailing Address |
212 Las Olas Belleville IL 62221 |
| Practice Telephone | 6186881179 |
| Mailing Telephone | 6187911835 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1922540970 | Kendra Dahlin Edwards | Social Worker | 790 Fuller Ne, Grand Rapids, MI 49505 | 2016-11-08 |
| 1124464755 | Kendra Edwards | Counselor | 1000 Oakland Dr, Kalamazoo, MI 49008-1282 | 2013-05-22 |
| Street Address |
900 ROYAL HEIGHT RD SUITE 2150 |
| City | BELLEVILLE |
| State | IL |
| Zip Code | 62221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679134829 | Dr. Cynthia C. Banderet, Dmd, PC | Clinic/Center | 2630 Mascoutah Ave., Suite A, Belleville, IL 62221 | 2019-06-27 |
| 1942763487 | John Joseph Oldani | Psychologist | Bassc - Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2019-04-11 |
| 1326537358 | Barbara S Laidlaw | Counselor | 2362 Country Rd, Belleville, IL 62221 | 2018-05-04 |
| 1083133946 | Kierra Jackson | In Home Supportive Care | 2611 Sierra Drive Apt. F, Belleville, IL 62221 | 2017-09-12 |
| 1972022994 | Kathleen Denise Defranco | Speech-Language Pathologist | 2028 Lebanon Ave., Belleville, IL 62221 | 2017-09-11 |
| 1700302270 | Mark Hofelich | Pharmacist | 515 Carlyle Avenue, Belleville, IL 62221 | 2017-08-16 |
| 1912422247 | Cherie Ann Klosterman | Psychologist | Belleville Area Special Services Cooperative, 2411 Pathways Crossing, Belleville, IL 62221 | 2017-08-08 |
| 1134391329 | Barbara Beckley | Home Health Aide | 2726 Cascade Lake Drive, Shiloh, IL 62221 | 2008-03-27 |
| 1356561666 | Belleville Area Spc Srv Co - Adm | Local Education Agency (LEA) | 2411 Pathways Crossing, Belleville, IL 62221 | 2007-04-27 |
| 1811969892 | Lesa Renee' Seales | Registered Nurse | 211 S. 3rd St., Belleville, IL 62221 | 2006-02-03 |
| Find all providers in zip 62221 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679101604 | Fadja Robert-carr | Counselor | 12 Belleview Ct Apt D, Belleville, NJ 07109-4414 | 2020-03-27 |
| 1144785700 | Chloe Alexandra Abelev | Counselor | 900 Royal Heights Rd Ste 1150, Belleville, IL 62226-5457 | 2019-02-07 |
| 1821575770 | Joselito Panis | Counselor | 36 Columbus Ave, Belleville, NJ 07109-2019 | 2018-07-24 |
| 1659746063 | Carmel Brown | Counselor | 6400 West Main Suite 3f, Suite 3f, Belleville, IL 62223 | 2015-12-10 |
| 1497926695 | Ravensong Counseling Services LLC | Counselor | 2900 South Frank Scott Parkway West, Suite 956 A, Belleville, IL 62223-0044 | 2008-03-14 |
| 1447881255 | Abilities First, LLC | Counselor | 44 Dawson St, Belleville, NJ 07109-1779 | 2020-01-30 |
| 1982252201 | Alondra Anderson | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-08-29 |
| 1194280008 | Melissa Marie Huebner | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2019-02-05 |
| 1609346253 | Alexis Lore Murphy-furlough | Counselor | 900 Royal Heights Rd, Belleville, IL 62226 | 2018-11-27 |
| 1790273795 | Joshua B Theiss | Counselor | 12 N 64th St, Belleville, IL 62223-3809 | 2018-04-25 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 62221 |
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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.