TINA LOUISE EDWARDS
NPI 1013683655
Counselor in Macclenny, FL

Active since August 23, 2021PECOS Enrolled
84 W LOWDER ST, MACCLENNY, FL 32063(352) 374-5600 Get Directions Write a Review

NPPES record last updated: August 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tina Louise Edwards NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TINA LOUISE EDWARDS (NPI 1013683655) is an individual counselor in Macclenny, Florida and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013683655
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTINA LOUISE EDWARDS
Location Address84 W LOWDER STMacclenny, FL 32063-2638
Mailing Address4300 Sw 13th StGainesville, FL 32608-4006 · (352) 374-5600
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 23, 2021
NPPES CertifiedAugust 23, 2021
NPI 1013683655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

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.

84 W LOWDER ST, Macclenny, FL 32063

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tina Louise Edwards is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335658715
PECOS Enrollment IDI20250605001998
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Manager/Care Coordinator
84 W LOWDER ST
MACCLENNY, FL 32063
Case Manager/Care Coordinator
84 W LOWDER ST
MACCLENNY, FL 32063
Counselor
84 W LOWDER ST
MACCLENNY, FL 32063
Registered Nurse
84 W LOWDER ST
MACCLENNY, FL 32063
Nurse's Aide
84 W LOWDER ST
MACCLENNY, FL 32063
Counselor
84 W LOWDER ST
MACCLENNY, FL 32063
Behavior Technician
84 W LOWDER ST
MACCLENNY, FL 32063
Counselor
84 W LOWDER ST
MACCLENNY, FL 32063

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013683655, enumerated as an "individual" on August 23, 2021.

The provider is located at 84 W LOWDER ST MACCLENNY, FL 32063 and the phone number is (352) 374-5600.

Counselor with taxonomy code 101Y00000X.

The provider might be accepting Accepts: Oscar Health Maintenance Organization of Florida. Please consult your insurance carrier or call the provider to verify.