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MRS. JENNIFER ERIN EDMONDSON LPC, LADC, CMIII
NPI 1033404876
Counselor in Edmond, OK

Active since June 09, 2011Opted out of Medicare · through Apr 3, 2028
1601 S STATE ST STE 100, EDMOND, OK 73013(405) 315-7093 Get Directions Write a Review

NPPES record last updated: June 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2019, Apr 11, 2019 (2 updates tracked since 2019).

About Mrs. Jennifer Erin Edmondson Lpc, Ladc, Cmiii NPPES

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

MRS. JENNIFER ERIN EDMONDSON LPC, LADC, CMIII (NPI 1033404876) is an individual counselor in Edmond, Oklahoma, licensed in Oklahoma (5028) and active in the NPI registry since June 2011. She has opted out of Medicare through April 3, 2028.

NPPES Registry Identity

NPI1033404876
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMRS. JENNIFER ERIN EDMONDSONCredential: LPC, LADC, CMIII
Location Address1601 S STATE ST STE 100Edmond, OK 73013-3507
Mailing Address1601 S State St Ste 100Edmond, OK 73013-3507 · (405) 315-7093
Phone(405) 315-7093
Sole ProprietorYes
Enumeration DateJune 9, 2011
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1033404876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in OK · 5028
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 1067 (OK)
Also ListedBehavior AnalystTaxonomy 103K00000X
1601 S STATE ST STE 100, Edmond, OK 73013
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Other Identifiers 1

Medicaid200370610BOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Jennifer Erin Edmondson Lpc, Ladc, Cmiii has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 3, 2024 through April 3, 2028.

Opt-Out Effective DateApril 3, 2024
Opt-Out In Effect ThroughApril 3, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

JIN WEN LING
Counselor (Professional)
1601 S STATE ST STE 100
EDMOND, OK 73013
Oklahoma County (405) 638-6288
ELIZABETH W BULMER COUNSELING LLC
Social Worker (Clinical)
1601 S STATE ST STE 100
EDMOND, OK 73013
Oklahoma County (405) 252-1203
UNIQUE OUTCOME, LLC
Counselor
1601 S STATE ST STE 100
EDMOND, OK 73013
Oklahoma County (405) 888-3917
SHAUNA RACHELLE MURRAY LPC
Counselor (Professional)
1601 S STATE ST STE 100
EDMOND, OK 73013
Oklahoma County (405) 237-9048

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Edmondson's NPI number?

The NPI number for Jennifer Edmondson is 1033404876. It was assigned to this individual provider in the NPPES registry on June 9, 2011.

Where is Jennifer Edmondson located?

Jennifer Edmondson practices at 1601 S State St Ste 100, Edmond, OK 73013. The listed phone number is (405) 315-7093.

What is Jennifer Edmondson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jennifer Edmondson enrolled in Medicare?

No. Jennifer Edmondson has opted out of Medicare through April 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Jennifer Edmondson accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and Providence Health Plan list Jennifer Edmondson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Edmondson was last updated on June 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.