KEVIN EDWARDS JR. (NPI# 1588082184) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588082184 |
| Entity Type | Individual |
| Full Name | KEVIN EDWARDS JR. |
| Credential | MS, MA, LPCC, LICDC |
| Practice Address |
5400 Edalbert Dr Cincinnati OH 45239-7604 |
| Mailing Address |
647 Roebling Rd Cincinnati OH 45238-5552 |
| Practice Telephone | 5137415690 |
| Mailing Telephone | 5132898839 |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2018-02-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LICDC.131124 | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
E.1700215 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528682077 | Kevin Edwards | Behavior Technician | 712 Avenida Castellano, Santa Fe, NM 87501-8902 | 2020-06-01 |
| 1114345766 | Kevin Scott Edwards | Community Health Worker | 2538 Lynn Lake Cir S, St Petersburg, FL 33712-6119 | 2014-04-01 |
| 1730495391 | Kevin Edwards | Naturopath | 2955 E Clifton Ave, Gilbert, AZ 85295-1424 | 2010-08-20 |
| 1952344681 | Kevin J Edwards | Psychologist | 12 B West Columbus St, Thornville, OH 43076-0602 | 2006-06-13 |
| 1093770703 | Kevin Robert Edwards | Internal Medicine | Nm Vahcs, 1501 San Pedro, Se, Albuquerque, NM 87108 | 2006-04-18 |
| 1023071461 | Kevin A. Edwards | Chiropractor | 76 Greensburg St, Delmont, PA 15626-1416 | 2006-04-07 |
| 1497215297 | Kevin Lee Edwards | Psychologist | 8700 E 29th St N, Wichita, KS 67226-2169 | 2019-03-20 |
| 1720363831 | Kevin Joseph Edwards | Emergency Medicine | 100 Madison Ave, Emergency Medicine, Morristown, NJ 07960-6136 | 2011-10-20 |
| 1750676565 | Kevin Keith Edwards | Obstetrics & Gynecology | 121 S Progress Dr, Xenia, OH 45385-2673 | 2011-06-09 |
| 1003146457 | Kevin Edwards | Counselor | 205 J T Stites Blvd, Sallisaw, OK 74955-9301 | 2010-01-07 |
| Street Address |
5400 EDALBERT DR |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45239-7604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043251234 | Jodi Glass | Counselor | 5400 Edalbert Dr, Cincinnati, OH 45239 | 2006-06-09 |
| 1083215453 | Rebecca Menzel | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-11-03 |
| 1164023537 | Kenee Reana Delaney | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7695 | 2020-11-03 |
| 1518568989 | Kelley N Mccollum-uyeno | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7695 | 2020-11-03 |
| 1477150290 | Logan T Cooper | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-10-05 |
| 1376140194 | Madison Jacqueline Britt | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7695 | 2020-10-05 |
| 1629675442 | Tracey Norman | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-10-05 |
| 1295349025 | Robert Wayne Dennis | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-08-31 |
| 1124631957 | Makenzie Paige Theiss | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-08-31 |
| 1568073146 | Zachary Fannin | Case Manager/Care Coordinator | 5400 Edalbert Dr, Cincinnati, OH 45239-7604 | 2020-08-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003312786 | Personal Companions Home Care LLC | Home Health | 6225 Colerain Ave Ste C, Cincinnati, OH 45239 | 2018-04-02 |
| 1447769047 | Divine Destiny Home Care Agency | In Home Supportive Care | 6625 New Bridge Dr., Cincinnati, OH 45239 | 2017-09-26 |
| 1063939262 | Alexandra Cunningham | Registered Nurse | 5730 Colerain Ave., Cincinnati, OH 45239 | 2017-08-28 |
| 1598289803 | Jeanise D Randolph | Case Manager/Care Coordinator | 3425 North Bend Suite F, Cincinnati, OH 45239 | 2017-07-28 |
| 1407385925 | Odessey Residential Homes LLC | Assisted Living Facility | 8240 Pippin Rd, Cincinnati, OH 45239 | 2017-06-08 |
| 1841727625 | Danita Marie White | Counselor | 5887 Montfort Hills Ave. #3, Cincinnati, OH 45239 | 2017-05-11 |
| 1801249867 | Regina Gullette | Counselor | 5980 Colerain Ave, 36, Cincinnati, OH 45239 | 2016-07-14 |
| 1811393051 | Angela Bien | Psychologist | 3420 Banning Road, Cincinnati, OH 45239 | 2014-11-17 |
| 1568895076 | Shavonne Noble | Registered Nurse | 1830 Sundale Ave, Cincinnati, OH 45239 | 2013-08-20 |
| 1609216613 | Eusebio Tiu Gaw | Surgery | 3515 Banning Rd., Cincinnati, OH 45239 | 2013-07-05 |
| Find all providers in zip 45239 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
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| 1942768973 | Restorative Wellness, LLC. | Counselor | 3665 Erie Ave Ste 5, Cincinnati, OH 45208-1983 | 2019-03-08 |
| 1023590205 | Mfriedman Mhc LLC | Counselor | 431 Ohio Pike Ste 103n, Cincinnati, OH 45255-3372 | 2018-09-04 |
| 1124509393 | Creekside Therapy Center LLC | Counselor | 431 Ohio Pike Ste 215, Cincinnati, OH 45255-3375 | 2018-08-27 |
| 1841783388 | Gwynn Cathleen Lamm | Counselor | 7265 Kenwood Rd Ste 321, Cincinnati, OH 45236-4416 | 2018-06-10 |
| 1487160347 | Eric Chang | Counselor | 230 William Howard Taft Rd, Cincinnati, OH 45219-2611 | 2017-12-14 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45239 |
Please comment or provide details below to improve the information on KEVIN EDWARDS JR..
| 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.