JOHN WAYNE EDWARDS (NPI# 1801133350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801133350 |
| Entity Type | Individual |
| Full Name | JOHN WAYNE EDWARDS |
| Credential | NCC, LPC, LMFT, LCAS |
| Practice Address |
302 Bradford Ave Fayetteville NC 28301-5406 |
| Practice Telephone | 9104840095 |
| Mailing Telephone | 9104840095 |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2014-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
20174 | NC | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
9504 | NC | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | 1501 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861817959 | John Mark Edwards | Counselor | 4445 Jay St Apt 202, Wheat Ridge, CO 80033-3795 | 2014-02-26 |
| 1740451970 | John Joseph Edwards | Psychologist | 215 Beech Tree Holw, Sugar Hill, GA 30518-8005 | 2008-03-15 |
| 1023131372 | John O Edwards | Counselor | 205 Powell Pl, Brentwood, TN 37027-7522 | 2007-04-09 |
| 1760503080 | John A Edwards | Psychologist | 294 East Kennebec Road, Machias, ME 04654 | 2007-04-03 |
| 1093842833 | John W. Edwards | Chiropractor | 3105 Alcoa Hwy Ste H, Knoxville, TN 37920-4783 | 2007-02-28 |
| 1922188911 | John Odis Edwards Jr. | Physical Therapist | 1300 Corporation Pkwy, Raleigh, NC 27610-0132 | 2006-10-16 |
| 1699788075 | John David Edwards | Pharmacist | 2448 Us Highway 60 E, Henderson, KY 42420-2509 | 2006-08-15 |
| 1336158294 | John D Edwards | Otolaryngology | 22999 Highway 59 N Ste 400, Kingwood, TX 77339-4441 | 2006-08-07 |
| 1649299199 | John Edwards | Physical Medicine & Rehabilitation | 215 N. Fresno St., 370, Fresno, CA 93701 | 2006-07-18 |
| 1487692794 | John Randall Edwards | Pediatrics | 8111 S Emerson Ave Ste 207, Indianapolis, IN 46237-8601 | 2006-06-02 |
| Street Address |
302 BRADFORD AVE |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-5406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811128507 | Reaching Out and Beyond LLC | Community/Behavioral Health | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2009-07-29 |
| 1497125363 | Lisa Daniels | Social Worker | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2015-10-04 |
| 1245623396 | Kerstin Sheets | Social Worker | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2015-03-13 |
| 1932507159 | Sue Hunt | Social Worker | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2014-12-22 |
| 1215330378 | Samantha Mcqueen | Social Worker | 302 Bradford Ave, Suite 2, Fayetteville, NC 28301-5406 | 2014-10-03 |
| 1891048757 | Natifa Pettus | Social Worker | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2012-10-17 |
| 1124388285 | Crse Advanced Placement Homes, Inc. | Community/Behavioral Health | 302 Bradford Ave, Fayetteville, NC 28301-2643 | 2012-05-23 |
| 1821395674 | Extended Reach Daytreatment for Children and Adolescents | Community/Behavioral Health | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2011-02-14 |
| 1740587591 | Extended Reach Daytreatment for Childrena and Adolescents LLC | Case Management | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2011-02-14 |
| 1538465604 | Extended Reach Day Treatment for Children & Adolescents LLC | Community/Behavioral Health | 302 Bradford Ave, Fayetteville, NC 28301-5406 | 2011-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| 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 |
|---|---|---|---|---|
| 1720639180 | Eugene Mack | Marriage & Family Therapist | 3608 Talus Rd, Fayetteville, NC 28306-9717 | 2019-09-26 |
| 1447755822 | Emily Jones | Marriage & Family Therapist | 5719 Danville Dr, Fayetteville, NC 28311-3419 | 2018-03-27 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| 1205345790 | Sarah Elizabeth Hudson | Marriage & Family Therapist | 214 Fairway Dr, Fayetteville, NC 28305 | 2017-09-27 |
| 1508381724 | Tina Marie Duggins | Marriage & Family Therapist | 1611b Owen Dr # 4835884, Fayetteville, NC 28304-3425 | 2017-08-09 |
| 1932640828 | Monique Rendles | Marriage & Family Therapist | 2106 Hope Mills Rd, Fayetteville, NC 28304-4226 | 2017-03-13 |
| 1629529060 | Lorna Boyer Chase | Marriage & Family Therapist | 109 White Heron Circle, Fayetteville, NY 13066 | 2016-10-20 |
| 1972958601 | Mark Knox | Marriage & Family Therapist | 1611 Owen Dr, Fayetteville, NC 28304-3425 | 2016-05-02 |
| 1861867053 | Zulima Webster | Marriage & Family Therapist | 11941 Fairway Overlook, Fayetteville, GA 30215-6637 | 2015-12-14 |
| 1124490362 | Brynn Rogers | Marriage & Family Therapist | 309 N Manlius St, Fayetteville, NY 13066-1433 | 2015-10-27 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
Please comment or provide details below to improve the information on JOHN WAYNE 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.