KENDRA D EDWARDS MA
NPI 1114497781
Counselor in Alton, IL

Active since November 27, 2018
2615 EDWARDS ST, ALTON, IL 62002(618) 462-2331(618) 462-2504 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2024, Nov 27, 2018 (2 updates tracked since 2018).

About Kendra D Edwards Ma NPPES

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

KENDRA D EDWARDS MA (NPI 1114497781) is an individual counselor in Alton, Illinois and active in the NPI registry since November 2018.

NPPES Registry Identity

NPI1114497781
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameKENDRA D EDWARDSCredential: MA
Location Address2615 EDWARDS STAlton, IL 62002-3915
Mailing Address902 W Main StWest Frankfort, IL 62896-2210 · (618) 937-6483 · Fax (618) 937-1440
Fax(618) 462-2504
Sole ProprietorNo
Enumeration DateNovember 27, 2018
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
NPI 1114497781 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.
2615 EDWARDS ST, Alton, IL 62002

Other Names 1

Former Name (1)Kendra Kellum

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.

Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Mental Health)
2615 EDWARDS ST
ALTON, IL 62002
Counselor
2615 EDWARDS ST
ALTON, IL 62002
Counselor (Professional)
2615 EDWARDS ST
ALTON, IL 62002

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 Kendra Edwards's NPI number?

The NPI number for Kendra Edwards is 1114497781. It was assigned to this individual provider in the NPPES registry on November 27, 2018. The provider is also known as Kendra Kellum.

Where is Kendra Edwards located?

Kendra Edwards practices at 2615 Edwards St, Alton, IL 62002. The listed phone number is (618) 462-2331.

What is Kendra Edwards's specialty?

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

When was this NPI record last updated?

The NPPES record for Kendra Edwards was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.