MRS. MARY GAUDEN EDMONSON MA, LPC, CAC II, LAC
NPI 1881997914
Counselor - Professional in Greenville, SC

Q: What is Mary Edmonson's NPI number?

The NPI number for Mary Edmonson is 1881997914. It was assigned to this individual provider in the NPPES registry on December 11, 2010.

Q: What is Mary Edmonson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Edmonson was last updated on July 31, 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.

Active since December 11, 2010

3443 PELHAM RD STE 200, GREENVILLE, SC 29615(864) 612-3004(864) 558-0059 Get Directions Write a Review

NPPES record last updated: July 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Mary Gauden Edmonson Ma, Lpc, Cac Ii, Lac NPPES

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

MRS. MARY GAUDEN EDMONSON MA, LPC, CAC II, LAC (NPI 1881997914) is an individual professional provider in Greenville, South Carolina, licensed in South Carolina (5173PC) and active in the NPI registry since December 2010.

NPPES Registry Identity

NPI1881997914

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMRS. MARY GAUDEN EDMONSONCredential: MA, LPC, CAC II, LAC

Location Address3443 PELHAM RD STE 200Greenville, SC 29615-4180

Mailing Address4 Parkway CommonsGreer, SC 29650-1971 · (864) 612-3004 · Fax (864) 644-1001

Phone(864) 612-3004

Fax(864) 558-0059

Sole ProprietorYes

Enumeration DateDecember 11, 2010

Last NPPES UpdateJuly 31, 2019

✔ NPI 1881997914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in SC · 5173PC

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 721 (SC)

3443 PELHAM RD STE 200, Greenville, SC 29615

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES

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

MARY KEEL MFTA

Marriage & Family Therapist

3443 PELHAM RD STE 200
GREENVILLE, SC 29615

Greenville County (864) 214-5920

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 Mary Edmonson's NPI number?

The NPI number for Mary Edmonson is 1881997914. It was assigned to this individual provider in the NPPES registry on December 11, 2010.

Where is Mary Edmonson located?

Mary Edmonson practices at 3443 Pelham Rd Ste 200, Greenville, SC 29615. The listed phone number is (864) 612-3004.

What is Mary Edmonson's specialty?

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

What insurance does Mary Edmonson accept?

Health plans from Providence Health Plan list Mary Edmonson 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 Mary Edmonson was last updated on July 31, 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.