KELLY HAROLD EDWARDS (NPI# 1245871201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245871201 |
| Entity Type | Individual |
| Full Name | KELLY HAROLD EDWARDS |
| Credential | LMFT A, LPC INTERN |
| Practice Address |
4807 Spicewood Springs Rd Building 1, #1140 Austin TX 78759 |
| Practice Telephone | 5128437665 |
| Mailing Telephone | 5128437665 |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
81634 | TX | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 203393 | TX | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205498110 | Kelly Jo Edwards | Nurse Practitioner | 12002 Bandera Rd Ste 111, Helotes, TX 78023-4669 | 2019-07-01 |
| 1700259595 | Kelly Devota Edwards | Student in an Organized Health Care Education/Training Program | 100 North Washington St Station 14, Livingston, AL 35470 | 2015-11-03 |
| 1952747271 | Kelly L Edwards | Nurse Practitioner | 4054 State Route 52, Youngsville, NY 12791-0595 | 2013-05-14 |
| 1285880724 | Kelly D. Edwards | Nurse Practitioner | 1110 Highlands Plaza Dr East, Ste 300, Saint Louis, MO 63110-1353 | 2008-08-15 |
| 1346389483 | Kelly Roxanne Edwards | Physical Therapist | 1150 W Morton Ave Ste B, Porterville, CA 93257 | 2007-02-05 |
| 1720447352 | Kelly Edwards | Nurse Anesthetist, Certified Registered | 3333 Cattlemen Rd, Sarasota, FL 34232-6056 | 2016-02-10 |
| 1548670136 | Kelly Edwards | Registered Nurse | 908 N Elm St, Suite 109, Hinsdale, IL 60521-3635 | 2014-05-05 |
| 1063787208 | Kelly Edwards | Case Manager/Care Coordinator | 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 | 2012-03-21 |
| 1588944243 | Kelly Ann Edwards | Registered Nurse | 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 | 2011-08-25 |
| 1225283450 | Kelly Gardner Edwards | Nurse Practitioner | 8210 Renaissance Pkwy, Durham, NC 27713-6688 | 2008-12-02 |
| Street Address |
4807 SPICEWOOD SPRINGS RD BUILDING 1, #1140 |
| City | AUSTIN |
| State | TX |
| Zip Code | 78759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578567459 | Integrative Pain Services Pa | Pain Medicine | 4807 Spicewood Springs Rd, Ste 1235, Austin, TX 78759-8478 | 2005-06-09 |
| 1619519154 | Eileen Kinney | Counselor | 4807 Spicewood Springs Rd, Bldg 1, #1140, Austin, TX 78759-8444 | 2019-10-16 |
| 1427554955 | Anne E Appel & Associates, Inc | Psychologist | 4807 Spicewood Springs Rd, Bldg 2, Suite 109, Austin, TX 78759 | 2018-04-03 |
| 1689125551 | Celisse Morgan Valdovinos | Social Worker | 4807 Spicewood Springs Rd, Building 1, Suite 1140, Austin, TX 78759-8444 | 2016-10-17 |
| 1093266900 | Rachel Howard | Counselor | 4807 Spicewood Springs Rd, Building 1, Suite 1140, Austin, TX 78759-8444 | 2016-10-17 |
| 1629524723 | Helen Fasken | Counselor | 4807 Spicewood Springs Rd, Bldg 1, #1140, Austin, TX 78759-8444 | 2016-08-29 |
| 1760936074 | Adam Maurer | Counselor | 4807 Spicewood Springs Rd, Bldg. 1, #1140, Austin, TX 78759-8444 | 2016-08-04 |
| 1033662523 | Julie Anna Osofsky | Counselor | 4807 Spicewood Springs Rd, 1140, Austin, TX 78759-8444 | 2016-08-01 |
| 1396196119 | Kyla Winlow | Social Worker | 4807 Spicewood Springs Rd, Bldg 1, #1140, Austin, TX 78759-8444 | 2016-06-22 |
| 1013370899 | Loren Lomme | Counselor | 4807 Spicewood Springs Rd, Bldg. 1, #1140, Austin, TX 78759-8444 | 2016-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677612 | Laurel Sunde | Nurse Practitioner | 11111 Research Blvd-ll2, Austin, TX 78759 | 2020-10-20 |
| 1558990242 | Sarah Ann Weier | Counselor | 8500 North Mopac Expressway, Austin, TX 78759 | 2020-04-03 |
| 1124672696 | Gabrielle Jade Hurley | Physical Therapist | 9333 Research Blvd Ste 400, Austin, TX 78759 | 2019-08-01 |
| 1730740671 | Jennifer Kraft | Behavior Technician | 9600 Great Hills Trail, Suite 150w, Austin, TX 78759 | 2019-06-21 |
| 1881199024 | Pediatric Home Healthcare, LLC | Home Health | 8501 N Mopac Expy Ste 410, Austin, TX 78759 | 2018-03-29 |
| 1679072870 | Sylvia Chen | Psychologist | 8400 N Mopac Expy Ste 302, Austin, TX 78759 | 2018-02-03 |
| 1215443064 | Greater Austin Urology, Pllc | Urology | 11673 Jollyville Rd Ste B101, Austin, TX 78759 | 2017-12-15 |
| 1831603042 | Jane A Dykes | Counselor | 9015 Mountain Ridge Dr., Houston Bldg., Ste. 200, Austin, TX 78759 | 2017-11-27 |
| 1134632706 | Gary Victor Friedman | Pharmacist | 4411 Spicewood Springs Road #1111, Austin, TN 78759 | 2017-11-06 |
| 1740720242 | Taylor Renee Cahill | Behavioral Analyst | 9901 North Capital of Texas Hwy, Austin, TX 78759 | 2017-03-02 |
| Find all providers in zip 78759 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508475872 | Delia Virginia Esparza | Marriage & Family Therapist | 8501 Alophia Dr, Austin, TX 78739-2105 | 2020-07-23 |
| 1679191514 | April Cooke | Marriage & Family Therapist | 901 Red River St Apt 1307, Austin, TX 78701-2799 | 2020-07-07 |
| 1295357119 | Brett Brightwell | Marriage & Family Therapist | 7800 N Mopac Expy Ste 120, Austin, TX 78759-8959 | 2020-05-13 |
| 1275153496 | Laura Jean Evans | Marriage & Family Therapist | 1300 Kirkwood Rd Unit A, Austin, TX 78722-1508 | 2020-04-17 |
| 1841829256 | Aaron Maleare | Marriage & Family Therapist | 12675 Research Blvd, Austin, TX 78759-2218 | 2020-04-07 |
| 1184253908 | Gina Elizabeth Tamplin | Marriage & Family Therapist | 1100 S Lamar Blvd Apt 1413, Austin, TX 78704-0198 | 2020-04-03 |
| 1518592393 | Veronica Vaupel | Marriage & Family Therapist | 9430 Research Blvd Ste II140, Austin, TX 78759-5866 | 2020-03-11 |
| 1447896535 | Jamie Shepherd | Marriage & Family Therapist | 8705 Shoal Creek Blvd Ste 108, Austin, TX 78757-6839 | 2019-11-23 |
| 1487297305 | Stephanie Walthall | Marriage & Family Therapist | 9430 Research Blvd Ste 140, Austin, TX 78759-6586 | 2019-10-23 |
| 1740846310 | Kimberly Gould | Marriage & Family Therapist | 601 Farley Dr, Austin, TX 78753-3114 | 2019-05-19 |
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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.