KEVIN EDWARDS NPI 1063380889

NPI Information

  • NPI: 1063380889
  • Provider Name: KEVIN EDWARDS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 13709 LYNDON B JOHNSON ST
    MANOR, TX
    ZIP 78653
  • Phone: (512) 897-8579

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NPI Details

Kevin Edwards is a mental health counselor in Manor, TX. Kevin Edwards NPI is 1063380889. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13709 LYNDON B JOHNSON ST
MANOR, TX
ZIP 78653-124
Phone: (512) 897-8579

The enumeration date for this NPI number is 10/24/2025 and was last updated on 10/24/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthTEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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