Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JEREMY R EDGE, LPC
DeactivatedMR. JEREMY R EDGE, LPC is a Professional Counselor healthcare provider located in DALLAS, Texas. NPI 1053836437 is deactivated in the NPPES registry. Verify at CMS.
Professional Counselor · DALLAS, TX
This NPI has been deactivated.
The record was deactivated on May 6, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1053836437
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 7, 2017 (1.7452054794521 yrs)
- Last Updated
- Dec 6, 2023
- Deactivated
- May 6, 2019
- Licenses
-
70750 (TX)70750 (TX)
Practice Information
- Address
-
6320 LYNDON B JOHNSON FWY STE 120DALLAS, TX, 752406410Browse TX providers · Browse ZIP 75240
- Phone
- 2144332721
- Primary Specialty
-
Professional Counselor
101YP2500X
- Additional Specialty
- Professional Counselor
Other Professional Counselor Providers in DALLAS, TX
| Name | Credential | NPI |
|---|---|---|
| MR. KEVIN DARNELL CURRY III | L.P.C. | 1841296068 |
| LEE ROSS LONG | LPC | 1558367748 |
| MR. RANDALL CHARLES GIBSON | LPC | 1891788170 |
| JANICE M PETTIS-INGRAM | ED.D, LLC | 1891776829 |
| MURRAY J BERGER | LPC LMFT | 1871578914 |
| KARLA HUTCHERSON | M.ED., LPC-S | 1306825807 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.