KATHY EDWARDS J.D. M.S. ABD PH.D.
NPI 1174986905
Counselor - Mental Health in Nampa, ID

Active since March 30, 2016PECOS EnrolledAccepts Medicare Assignment
1010 W TETON AVE, NAMPA, ID 83686(208) 312-7148 Get Directions Write a Review

NPPES record last updated: March 30, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kathy Edwards J.d. M.s. Abd Ph.d. NPPES

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

KATHY EDWARDS J.D. M.S. ABD PH.D. (NPI 1174986905) is an individual mental health provider in Nampa, Idaho, licensed in Idaho (5614) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174986905
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATHY EDWARDSCredential: J.D. M.S. ABD PH.D.
Location Address1010 W TETON AVENampa, ID 83686-9778
Mailing Address1010 W Teton AveNampa, ID 83686-9778 · (208) 312-7148
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 30, 2016
✔ NPI 1174986905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in ID · 5614
1010 W TETON AVE, Nampa, ID 83686

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kathy Edwards J.d. M.s. Abd Ph.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466865837
PECOS Enrollment IDI20240502002480
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kathy Edwards reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community/Behavioral Health
1008 FILLMORE ST
Caldwell, ID 83605
  • Reassigned Medicare billing, Idaho enrollment
  • 7 clinicians in this Medicare group
Clinical
1755 WESTGATE DR, SUITE 260
Boise, ID 83704
  • Reassigned Medicare billing, Idaho enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kathy Edwards's NPI number?

The NPI number for Kathy Edwards is 1174986905. It was assigned to this individual provider in the NPPES registry on March 30, 2016.

Where is Kathy Edwards located?

Kathy Edwards practices at 1010 W Teton Ave, Nampa, ID 83686. The listed phone number is (208) 312-7148.

What is Kathy Edwards's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kathy Edwards enrolled in Medicare?

Yes. Kathy Edwards is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Kathy Edwards's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathy Edwards reassigns Medicare benefits to 2 organizations: Mana Resources LLC (Caldwell, ID) and Cornerstone Psychological Associates, PLLC (Boise, ID). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathy Edwards's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kathy Edwards accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans and Select Health list Kathy Edwards 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 Kathy Edwards was last updated on March 30, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.