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Active NPI 1104036664 Individual Practitioner Female Practitioner

Kristine Ruth Edwards , LPC, PC

Counselor • Sylvania, OH

Professional Overview & Biography Verified Profile Summary

Kristine Edwards, LPC, PC is a registered healthcare professional specializing in Counselor in Sylvania, OH. Practice services are available at 5647 MAYBERRY SQ E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5647 Mayberry Sq E

Sylvania, OH 435609456

Telephone 7347557136

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Sylvania, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 23.0 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Sylvania, OH (4163 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH C.0500154

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.

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License MI 6401008894

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Heather King , LPC

Counselor - Professional

NPI 1215445408

Licensed Professional Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address April 12, 2019

Registered at 5647 MAYBERRY SQ E, SYLVANIA, OH 435609456 (Tel: 7347557136)

👤
Provider Name / Credentials Updated April 12, 2019

Recorded as KRISTINE EDWARDS, LPC, PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 12, 2019

Counselor (License #6401008894 in MI)

NPI Profile Active August 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location August 13, 2012

Registered at 5647 MAYBERRY SQ E, SYLVANIA, OH 435609456 (Tel: 7347557136)

📍
Updated Business Mailing Address August 13, 2012

Registered at 11124 CRABB RD, TEMPERANCE, MI 481829617 (Tel: 7347557136)

👤
Provider Name / Credentials Updated August 13, 2012

Recorded as KRISTINE CLOUSE, LPC, PC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 13, 2012

Counselor (License #C.0500154 in OH)

🟢
Initial NPI Registration & Enumeration May 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104036664
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 23, 2007
Last Update: April 12, 2019
Sole Proprietor: Yes

Mailing Address

5647 Mayberry Sq E

Sylvania, OH 435609456

Phone: 7347557136

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.