KIMBERLY EDWARDS (NPI# 1740764752) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740764752 |
| Entity Type | Individual |
| Full Name | KIMBERLY EDWARDS |
| Practice Address |
124 Mallard St Greenville SC 29601-4046 |
| Practice Telephone | 8642411040 |
| Mailing Telephone | 8642411040 |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2018-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | 301100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649892845 | Kimberly Edwards | Registered Nurse | 4334 Greenwood Ln, Grapevine, TX 76051-6718 | 2020-05-11 |
| 1417331232 | Kimberly Edwards | Behavioral Analyst | 8 Edwards Pl, Ewing, NJ 08628-2009 | 2015-07-10 |
| 1689070666 | Kimberly Edwards | Registered Nurse | 43015 Park Creek Dr, Broadlands, VA 20148-4140 | 2014-11-18 |
| 1447691274 | Kimberly Camille Edwards | Dietitian, Registered | 45040 Promise Rd, Lake Elsinore, CA 92532-1500 | 2013-07-09 |
| 1639444136 | Kimberly Ann Edwards | Physician Assistant | 2730 N Mcmullen Booth Rd Ste 101, Clearwater, FL 33761-3302 | 2012-03-15 |
| 1851623045 | Kimberly Dawn Edwards | Physical Therapy Assistant | 282 Woodberry Rd, Bassett, VA 24055-3722 | 2010-02-12 |
| 1598964983 | Kimberly Funderburk Edwards | Nutritionist | 820 N Thistle Ln, Maitland, FL 32751-3801 | 2007-07-16 |
| 1447333885 | Kimberly A Edwards | Specialist | 1107 Oak St, Milton, WA 98354-9234 | 2006-10-21 |
| 1831140219 | Kimberly A Edwards | Specialist | 2303 N Swan Rd, Tucson, AZ 85712-2716 | 2006-05-12 |
| 1710548268 | Kimberly Jean Edwards | Physical Therapy Assistant | 2116 W South 3rd St, Shelbyville, IL 62565-9102 | 2019-06-25 |
| Street Address |
124 MALLARD ST |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29601-4046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821071945 | Michael A Manley | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2005-11-22 |
| 1598366445 | Domonique Holbert | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-11-06 |
| 1003417536 | Nytear Mcclain | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-11-02 |
| 1053911172 | Whitney Sanders | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-10-28 |
| 1790392827 | Kelsey Green | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-09-23 |
| 1497366140 | Holden Lecroy | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-08-14 |
| 1942811781 | Jimmy Sercey Jr. | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-08-14 |
| 1063020105 | Marques Petty | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-07-15 |
| 1174159677 | Laura Deaton | Registered Nurse | 124 Mallard St, Greenville, SC 29601-4046 | 2020-03-16 |
| 1689207482 | Margaret Cross | Counselor | 124 Mallard St, Greenville, SC 29601-4046 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700305620 | True Sleep Diagnostics | Clinic/Center | 220 North Main St Ste 500, Pmb 104, Greenville, SC 29601 | 2017-09-12 |
| 1245786813 | Yvette Ombougno | Registered Nurse | 200 University Ridge, Greenville, SC 29601 | 2016-09-01 |
| 1477921823 | Laura Gore Siefert | Registered Nurse | 1 Saint Francis Drive, Greenville, SC 29601 | 2015-09-02 |
| 1821493826 | Sarah Fuller | Counselor | 602 Pettigru St, Greenville, SC 29601 | 2014-11-03 |
| 1689088932 | Chenille Taylor | Nurse Practitioner | 201 N. Main Street, Greenville, SC 29601 | 2014-06-15 |
| 1861827842 | Caritas Counseling Services LLC | Community/Behavioral Health | 111 Hampton Avenue, St Mary's Catholic Church, Greenville, SC 29601 | 2013-09-09 |
| 1568790335 | Lynn A. Victory | Counselor | 710 Pettigru Street, The Cottage, Greenville, SC 29601 | 2009-12-06 |
| 1386971448 | Lisa Speach | Nurse Practitioner | 3 St. Francis Drive, Suite 300, Greenville, SC 29601 | 2009-11-11 |
| 1851528418 | Adam Shawn Riffle | Specialist/Technologist | 175 Patewood Drive, Greenville, SC 29601 | 2009-06-22 |
| 1114178332 | Margaret W. Lee | Psychologist | 412 Pettigru St., Suite C, Greenville, SC 29601 | 2008-10-07 |
| Find all providers in zip 29601 | ||||
| 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 |
|---|---|---|---|---|
| 1710522586 | Samuel Bethea Cann V | Counselor | 212 Whitsett St, Greenville, SC 29601-3141 | 2019-11-15 |
| 1417591827 | Michael Nicholson | Counselor | 1990 Augusta St Ste 204, Greenville, SC 29605-6505 | 2019-10-30 |
| 1457993123 | Innovation Counseling Services | Counselor | 8 Sycamore Dr Ste B9, Greenville, SC 29607-2965 | 2019-10-14 |
| 1316591498 | Nelzarie I Wynn | Counselor | 151 Commons Way, Greenville, SC 29611-3850 | 2019-07-28 |
| 1356809990 | Atlantic Consulting and Therapy Specialists, Pa | Counselor | 3493-e Evans Street, Greenville, NC 27834-4535 | 2019-03-02 |
| 1710462916 | Bennett's Counseling Services | Counselor | 1478 Old Central Rd, Greenville, AL 36037-6159 | 2018-10-03 |
| 1154839694 | Tiffany Nicole Ceasar | Counselor | 365 W Reed Rd Ste 1a, Greenville, MS 38701-6967 | 2018-01-18 |
| 1225552557 | Stephanie Epley | Counselor | 365 West Reed Rd Ste A-1, Greenville, MS 38701 | 2017-07-28 |
| 1629591391 | Tenesha Marshall | Counselor | 365 W Reed Rd # A-1, Greenville, MS 38701-6967 | 2017-07-25 |
| 1871016428 | Damon Loren Rappleyea | Counselor | 300 E Arlington Blvd Ste 9a, Greenville, NC 27858-5050 | 2017-07-25 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29601 |
Please comment or provide details below to improve the information on KIMBERLY 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.