KATHLEEN M EDWARDS (NPI# 1528186558) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528186558 |
| Entity Type | Individual |
| Full Name | KATHLEEN M EDWARDS |
| Credential | LMFT |
| Practice Address |
3001 Spring Mill Drive Suite D Springfield IL 62704-6599 |
| Practice Telephone | 2175463100 |
| Practice Fax Number | 2175463284 |
| Mailing Telephone | 2175463100 |
| Mailing Fax Number | 2175463284 |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS INS CO | 08400618 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861777906 | Kathleen Edwards | Registered Nurse | 10350 Palm Springs Dr, Sparks, NV 89441-0524 | 2011-10-20 |
| 1083860290 | Kathleen Helen Edwards | Speech-Language Pathologist | 104 Ainslie St Apt 2, Brooklyn, NY 11211-3550 | 2008-08-07 |
| 1295925774 | Kathleen Edwards | Dietitian, Registered | 3365 Peter Ln, Yorktown Heights, NY 10598-1923 | 2007-07-31 |
| 1467569467 | Kathleen Ann Edwards | Speech-Language Pathologist | Scottish Rite Childhood Language Center, 4202 Hermitage Road, Richmond, VA 23227-3755 | 2006-08-24 |
| 1306460837 | Kathleen Edwards | Nurse Anesthetist, Certified Registered | 2700 Clay Edwards Dr Ste 240, North Kansas City, MO 64116-3254 | 2020-06-01 |
| 1164802534 | Kathleen T Edwards | Nurse Practitioner | 2240 Highway 33, Suite 114, Neptune City, NJ 07753-6104 | 2015-06-01 |
| 1588928550 | Kathleen Edwards | Case Manager/Care Coordinator | 95 Franklin St, Buffalo, NY 14202-3925 | 2012-06-25 |
| 1457415978 | Kathleen Mae Edwards | Registered Nurse | 3180 Center St Ne, Salem, OR 97301-4532 | 2006-12-20 |
| 1922018738 | Kathleen Lane Edwards | Speech-Language Pathologist | 1011 Professional Blvd, Dalton, GA 30720-2506 | 2006-08-08 |
| Street Address |
3001 SPRING MILL DRIVE SUITE D |
| City | SPRINGFIELD |
| State | IL |
| Zip Code | 62704-6599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619095643 | Joseph Glenn Bohlen | Psychiatry & Neurology | 3001 Spring Mill Drive, Suite D, Springfield, IL 62704-6599 | 2007-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
| 1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
| 1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
| 1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
| 1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
| 1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
| 1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
| 1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
| 1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
| 1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
| Find all providers in zip 62704 | ||||
| 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 |
|---|---|---|---|---|
| 1376184820 | Kevin Polk | Marriage & Family Therapist | 350 Bourbon St, Springfield, IL 62707-2702 | 2019-10-07 |
| 1033655535 | Jeffrey Bentley | Marriage & Family Therapist | 61 Woodlawn St, Springfield, MA 01108-3064 | 2017-01-09 |
| 1366815722 | Megyn Wilson | Marriage & Family Therapist | 575 Shrine Rd, Springfield, OH 45504-3927 | 2015-11-06 |
| 1871928119 | David Brown | Marriage & Family Therapist | 1931 E Cherry St, Springfield, MO 65802 | 2013-09-05 |
| 1013126986 | Kristi Palmer Kaag | Marriage & Family Therapist | 1863 Pioneer Pkwy E, #304, Springfield, OR 97477-3907 | 2007-05-21 |
| 1457569832 | Leslie R Lovestead | Marriage & Family Therapist | 8510 Wild Spruce Dr, Springfield, VA 22153-1800 | 2007-05-18 |
| 1902995467 | Kristin N Ong I | Marriage & Family Therapist | 8000 Forbes Pl, Springfield, VA 22151-2200 | 2006-10-12 |
| 1316048499 | Judith Ellen Ruff | Marriage & Family Therapist | 120 South 11th St, Catholic Charities, Springfield, IL 62703 | 2006-09-25 |
| 1467559187 | Howard Daniel Cameron | Marriage & Family Therapist | 3023 S Fort Ave, Suite B, Springfield, MO 65807-4272 | 2006-09-17 |
| 1457457095 | Carrin Brandt | Marriage & Family Therapist | 7314 Beechwood Dr, Springfield, VA 22153-2336 | 2006-09-14 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 62704 |
Please comment or provide details below to improve the information on KATHLEEN M EDWARDS.
| 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.