MR. JOHN KENNEDY EDMOND NPI 1821146986

NPI Information

NPI: 1821146986
Provider Name: MR. JOHN KENNEDY EDMOND
Classification: Counselor - 101YM0800X
Specialization: Mental Health
Entity Type: Individual
Address: 1036 BRANCHVIEW DR
SUITE 201
CONCORD, NC
ZIP 28025
Phone: (704) 793-9593

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NPI Details

MR. John Kennedy Edmond is a mental health counselor in Concord, NC. MR. John Kennedy Edmond NPI is 1821146986. 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:

1036 BRANCHVIEW DR
SUITE 201
CONCORD, NC
ZIP 28025-998
Phone: (704) 793-9593
Fax: (704) 795-0825

The enumeration date for this NPI number is 1/8/2007 and was last updated on 7/9/2007.

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
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	6603176	MEDICAID	NORTH CAROLINA
2	6603560	MEDICAID	NORTH CAROLINA
3	6603333	MEDICAID	NORTH CAROLINA

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

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