COURTNEY LYNN EDGAR (NPI# 1629414305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629414305 |
Entity Type | Individual |
Full Name | COURTNEY LYNN EDGAR |
Credential | LPC, NCC |
Practice Address |
3300 Lansing Ave Jackson MI 49202-1621 |
Practice Telephone | 5177842929 |
Practice Fax Number | 5177843030 |
Mailing Telephone | 5177842929 |
Mailing Fax Number | 5177843030 |
Enumeration Date | 2013-05-21 |
Last Update Date | 2016-03-18 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101Y00000X | Counselor | MI | Behavioral Health & Social Service Providers | |
Y | 101Y00000X | Counselor | 6401013641 | MI | Behavioral Health & Social Service Providers |
Street Address |
3300 LANSING AVE |
City | JACKSON |
State | MI |
Zip Code | 49202-1621 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629101829 | Victory Clinical Services IIi LLC | Clinic/Center | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2007-03-14 |
1780290023 | Ashley D Oredsen | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2020-09-22 |
1932715976 | Amber Sims | Case Manager/Care Coordinator | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2020-09-16 |
1104470640 | Carrie Ann Miller | Social Worker | 3300 Lansing Ave, Jackson, MI 49202 | 2019-08-01 |
1568921153 | Madison Apperson | Case Manager/Care Coordinator | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2019-03-14 |
1164997672 | Jan Walker | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-10-11 |
1467934521 | Lisa Lynn Jarrell | Licensed Practical Nurse | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-09-05 |
1750862561 | Julie Ann Hesterman | Social Worker | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-08-29 |
1154817922 | Jeanie Roberts | Counselor | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-07-05 |
1386148914 | Matthew Reader | Counselor | 3300 Lansing Ave, Jackson, MI 49202-1621 | 2018-03-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821590316 | Leslie Dominique Barroso | Social Worker | 834 Kennedy St, Jackson, MI 49202 | 2018-03-01 |
1073011136 | Nicole Szarek | Social Worker | 1200 N. West Ave, Jackson, MI 49202 | 2018-01-24 |
1598299430 | Cedric Griffin | Behavior Technician | 950 W. Monroe St, Jackson, MI 49202 | 2017-04-18 |
1285081612 | Patricia Decker | Psychologist | 950 West Monroe, Suite 500, Jackson, MI 49202 | 2016-05-16 |
1619344314 | Erica Ries | Social Worker | 1200 N West Ave Ste 800, Jackson, MI 49202 | 2015-08-28 |
1184007189 | Sarah Johnson | Behavioral Analyst | 818 Winifred St, Jackson, MI 49202 | 2015-07-08 |
1871971697 | Scott A Watterson Dds, Pllc | Dentist | 1030 Laurence Ave, Suite 3, Jackson, MI 49202 | 2015-05-13 |
1043608680 | Brenda Beverly | Counselor | 1190 West, 1190 West Suite 812, Jackson, MI 49202 | 2015-01-06 |
1295091593 | Natalie Ann Kember | Social Worker | 1206 Clinton, Jackson, MI 49202 | 2012-04-11 |
1912218728 | Tina Marie Pierce | Respite Care | 225 N Wisner St, Jakson, MI 49202 | 2010-06-25 |
Find all providers in zip 49202 |
Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
1457986390 | Comfort Zone Counseling LLC | Counselor | 209 E Washington Ave Ste 330-d, Jackson, MI 49201-2393 | 2020-03-11 |
1255976825 | April Sue Montague | Counselor | 401 S Mechanic St, Jackson, MI 49201-2350 | 2019-11-07 |
1851950356 | Trunorth Counseling, Pllc | Counselor | 1312 Warren Ave, Upper Level, Rm #1, Jackson, MI 49203-3732 | 2019-06-08 |
1083176218 | Mindful Solutions, LLC | Counselor | 4500 I 55 N Ste 230, Jackson, MS 39211-5930 | 2019-04-05 |
1841757630 | Susan E Cumings | Counselor | 2811 W Morrell St, Jackson, MI 49203-2643 | 2019-02-27 |
1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
1619448669 | Toby Ribiat | Counselor | 10 Partree Rd, Jackson, NJ 08527-1710 | 2018-12-16 |
1679077242 | Lifespring Counseling Services | Counselor | 2938 E Michigan Ave, Jackson, MI 49202-3846 | 2018-03-20 |
1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
Find all providers in JACKSON |
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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.