MR. KENNETH J. EDWARDS


Address: 1960 Washington St, Boston, MA 02118-3219
Phone: 6175160280

MR. KENNETH J. EDWARDS (NPI# 1528235579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528235579
Entity Type Individual
Full Name MR. KENNETH J. EDWARDS
Credential M.ED
Practice Address 1960 Washington St
Boston
MA 02118-3219
Mailing Address 30 Lorne St
Dorchester Center
MA 02124-1449
Practice Telephone 6175160280
Practice Fax Number 6175160280
Mailing Telephone 6173033146
Mailing Fax Number 6175160281
Enumeration Date 2008-05-09
Last Update Date 2008-06-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
PBA 001105 MA Behavioral Health & Social Service Providers

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Office Location

Street Address 1960 WASHINGTON ST
City BOSTON
State MA
Zip Code 02118-3219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164622551 Pyramid Builders Associates, Inc Community/Behavioral Health 1960 Washington St, Boston, MA 02118-3219 2007-07-23
1407240963 Emily Rice Social Worker 1960 Washington St, Boston, MA 02118-3219 2015-03-23
1134542996 Joann Clinton Case Manager/Care Coordinator 1960 Washington St, Boston, MA 02118-3219 2014-01-30
1255677522 Harold Phillips Counselor 1960 Washington St, Boston, MA 02118-3219 2012-12-14
1962762450 Cheryl A. Murphy Social Worker 1960 Washington St, Boston, MA 02118-3219 2012-05-18
1306117841 Walter Randolph Howell Jr. Counselor 1960 Washington St, Boston, MA 02118-3219 2012-01-13
1225318496 Kathleen Mary Cribben Counselor 1960 Washington St, Boston, MA 02118-3219 2011-08-19
1376830695 Andronique Joseph Counselor 1960 Washington St, Boston, MA 02118-3219 2011-07-07
1346563608 David Myers Counselor 1960 Washington St, Boston, MA 02118-3219 2010-03-01
1225364862 Sarah Sheafe Miller Social Worker 1960 Washington St, Boston, MA 02118-3219 2009-11-01
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Providers in the same zip code

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1538707401 Jane Margolis Social Worker 840 Harrison Ave., Dowling 2 South, Boston, MA 02118 2019-12-11
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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1326657487 Laqueen Arleen Battle Counselor 101 Arch Street, 8th Floor, Ste 869, Boston, MA 02110 2020-07-24
1134737240 Jeandrilie Font-llorens Counselor 440 Mcclellan Hwy Ste 105b, Boston, MA 02128-1101 2020-07-15
1255959524 Discover Healing Therapy LLC Counselor 185 Devonshire St Ste 501, Boston, MA 02110-1415 2020-07-13
1538783089 Yutsz Cherng Counselor 870r Commonwealth Avenue, Boston, MA 02215 2020-06-01
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1952944290 Chabreah Alston Counselor 23 Cameron St Apt 3, Boston, MA 02125-4463 2019-10-18
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Competitor

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City BOSTON
Zip Code 02118

Improve Information

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Dataset Information

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.

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