JONATHAN EDWARDS (NPI# 1871030668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871030668 |
| Entity Type | Individual |
| Full Name | JONATHAN EDWARDS |
| Credential | M.ED, NCC, LPC |
| Practice Address |
2214 N Atherton St Suite 4 State College PA 16803-1544 |
| Practice Telephone | 8142370567 |
| Practice Fax Number | 8142370569 |
| Mailing Telephone | 8142370567 |
| Mailing Fax Number | 8142370569 |
| Enumeration Date | 2017-01-31 |
| Last Update Date | 2017-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
PC009411 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639779309 | Jonathan Edwards | Specialist/Technologist | 39 Monty St, Plattsburgh, NY 12901-3702 | 2020-10-30 |
| 1477953578 | Jonathan Edwards | Pathology | Bon Secours Mary Immaculate Hospital, Pathology Dept, 2 Bernardine Dr, Newport News, VA 23602 | 2014-08-26 |
| 1720097298 | Jonathan D Edwards | Family Medicine | 1334 S Palestine St, Athens, TX 75751-3621 | 2006-08-05 |
| 1043284458 | Jonathan Edwards | Internal Medicine | 2685 Metropolitan Pkwy Sw Ste G, Atlanta, GA 30315-7926 | 2006-02-14 |
| 1164820312 | Jonathan Edwards | Nurse Practitioner | 1405 E 12th St, Suite 600, Mendota, IL 61342-9010 | 2014-12-19 |
| 1861830697 | Jonathan Edwards | Social Worker | 5331 Plymouth Rd, Ann Arbor, MI 48105-9520 | 2013-06-14 |
| 1518209436 | Jonathan Joseph Edwards | Pediatrics | 3401 Civic Center Blvd, Division of Cardiology, Philadelphia, PA 19104-4319 | 2013-03-18 |
| 1497040497 | Jonathan Edwards | Dentist | 408 S Broadview St, Cape Girardeau, MO 63703-5725 | 2011-06-17 |
| 1265767073 | Jonathan Lloyd Edwards | Counselor | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2009-10-13 |
| 1619066586 | Jonathan Charles Edwards | Psychiatry & Neurology | 171 Ashley Ave, Charleston, SC 29425-0322 | 2006-10-11 |
| Street Address |
2214 N ATHERTON ST SUITE 4 |
| City | STATE COLLEGE |
| State | PA |
| Zip Code | 16803-1544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134141211 | Sreedevi Komarneni | Psychiatry & Neurology | 2214 N Atherton St, Suite 5, State College, PA 16803-1544 | 2006-07-24 |
| 1407210974 | Dr Sreedevi Komarneni Choices LLC | Psychiatry & Neurology | 2214 N Atherton St, State College, PA 16803-1544 | 2016-04-11 |
| 1104222462 | Jessie Westrick Starks | Counselor | 2214 N Atherton St, State College, PA 16803-1544 | 2014-11-14 |
| 1396163853 | Michaela Herr | Counselor | 2214 N Atherton St, #4, State College, PA 16803-1544 | 2014-04-02 |
| 1013350248 | Carrie Schwartz | Counselor | 2214 N Atherton St, Suite 4, State College, PA 16803-1544 | 2013-04-08 |
| 1093084618 | Elizabeth Ann Mason | Social Worker | 2214 N Atherton St, Suite 4, State College, PA 16803-1544 | 2011-12-28 |
| 1134458276 | Individual and Family Choices Program | Community/Behavioral Health | 2214 N Atherton St, Suite 4, State College, PA 16803-1544 | 2009-12-21 |
| 1275743379 | Carol Jayne Mcfall | Counselor | 2214 N Atherton St, Suite 4, State College, PA 16803-1544 | 2007-05-23 |
| 1588874424 | Lois Ann Ehrmann | Counselor | 2214 N Atherton St, Suite 4, State College, PA 16803-1544 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851581 | Tammy Lynn Terosky | Massage Therapist | 2134 Sandy Drive, Suite 6, State College, PA 16803 | 2020-08-12 |
| 1548748973 | Molly Gomez | Occupational Therapist | 260 Lions Hill Road, State College, PA 16803 | 2018-07-28 |
| 1568981827 | David Scott Kautz | Pharmacist | 1665 North Atherton Place, State College, PA 16803 | 2017-09-18 |
| 1245751023 | Zenovia Tarmohamed | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, Penn State Health At Mount Nittany Medical Center, State College, PA 16803 | 2017-06-30 |
| 1407205362 | Alka Sood | Student in an Organized Health Care Education/Training Program | 1850 E. Park Avenue, State College, PA 16803 | 2016-06-10 |
| 1588018766 | Daniel Frankel | Student in an Organized Health Care Education/Training Program | 1850 East Park Avenue, Suite 207, State College, PA 16803 | 2016-04-14 |
| 1154791903 | Megan Widener | Physician Assistant | 2520 Green Tech Dr., Ste. D, State College, PA 16803 | 2015-10-05 |
| 1114301330 | Phuong Tran Courtney | Physician Assistant | 1613 North Atherton Street, Suite B, State College, PA 16803 | 2015-07-17 |
| 1164806840 | Amit Thatte | Student in an Organized Health Care Education/Training Program | 1850 East Park Ave., Suite 207, Penn State Hershey Medical Group, State College, PA 16803 | 2015-07-13 |
| 1245588946 | Phoenix Rehabilitation and Health Services, Inc. | Chiropractor | 1700 Old Gatesburg Road, Suite 210, State College, PA 16803 | 2012-08-28 |
| Find all providers in zip 16803 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487262515 | Holly Lynn Carey Moore | Counselor | 3941 S Atherton St, State College, PA 16801-8309 | 2020-07-15 |
| 1598225393 | Purposeful U Counseling | Counselor | 3941 S Atherton St Ste A, State College, PA 16801-8309 | 2019-03-20 |
| 1003375015 | Meredith Chaney | Counselor | 1315 S Allen St Ste 315, State College, PA 16801-5923 | 2019-03-19 |
| 1528533205 | Rebecca Swentosky | Counselor | 154 W Nittany Ave, State College, PA 16801-4811 | 2018-10-09 |
| 1609277086 | Jenna Mueller | Counselor | 1107 W College Ave, State College, PA 16801-2823 | 2014-09-04 |
| 1780011254 | Natasha R. Volkers | Counselor | 2007 Park Forest Ave, State College, PA 16803-1333 | 2013-09-30 |
| 1205262342 | Vanessa Wentz | Counselor | 157 Meadow Ln, State College, PA 16801-7147 | 2013-09-20 |
| 1912250523 | Eva M Letwin | Counselor | 2011 Cato Ave Ste 201, State College, PA 16801 | 2012-10-19 |
| 1164770244 | Michelle Marie Klein | Counselor | 3943 S Atherton St, State College, PA 16801-8308 | 2012-08-21 |
| 1396015541 | Seriashia Chatters | Counselor | 315 S Allen St Ste 326, State College, PA 16801-4851 | 2012-01-05 |
| Find all providers in STATE COLLEGE | ||||
| City | STATE COLLEGE |
| Zip Code | 16803 |
Please comment or provide details below to improve the information on JONATHAN 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.