1. Home
  2. Directory
  3. Missouri
  4. Saint Louis
  5. Counselor
  6. NPI Profile

MR. JERRY MITCHELL EDMONDSON MA, LPC
NPI 1528229598
Counselor - Professional in Saint Louis, MO

Active since June 22, 2008
2849 HAMPTON AVE, SAINT LOUIS, MO 63139(314) 910-3099 Get Directions Write a Review

NPPES record last updated: June 3, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Jerry Mitchell Edmondson Ma, Lpc NPPES

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

MR. JERRY MITCHELL EDMONDSON MA, LPC (NPI 1528229598) is an individual professional provider in Saint Louis, Missouri, licensed in Missouri (2008012530) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1528229598
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. JERRY MITCHELL EDMONDSONCredential: MA, LPC
Location Address2849 HAMPTON AVESaint Louis, MO 63139-2626
Mailing Address2849 Hampton AveSaint Louis, MO 63139-2626 · (314) 910-3099
Phone(314) 910-3099
Sole ProprietorYes
Enumeration DateJune 22, 2008
Last NPPES UpdateJune 3, 2014
✔ NPI 1528229598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2008012530
2849 HAMPTON AVE, Saint Louis, MO 63139
Open in Google Maps ↗

Other Identifiers 1

Other2008012530MO · Licensed Number For State Of Missouri Licensed Professional Counselor

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 Jerry Edmondson's NPI number?

The NPI number for Jerry Edmondson is 1528229598. It was assigned to this individual provider in the NPPES registry on June 22, 2008.

Where is Jerry Edmondson located?

Jerry Edmondson practices at 2849 Hampton Ave, Saint Louis, MO 63139. The listed phone number is (314) 910-3099.

What is Jerry Edmondson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jerry Edmondson was last updated on June 3, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.