KAYLA EDSON PLLC NPI 1104576479

NPI Information

NPI: 1104576479
Provider Name: KAYLA EDSON, PLLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4689 W 20TH STREET
SUITE E
GREELEY, CO
ZIP 80634
Phone: (970) 834-3657
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KAYLA EDSON, PLLC is a mental health counselor in Greeley, CO. KAYLA EDSON, PLLC NPI is 1104576479. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4689 W 20TH STREET
SUITE E
GREELEY, CO
ZIP 80634
Phone: (970) 834-3657

The provider's authorized official is Kayla Marie Edson .
The authorized official title is Owner and has the following contact phone number (970) 834-3657.

The enumeration date for this NPI number is 3/28/2022 and was last updated on 3/28/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	9000177607	MEDICAID	COLORADO
2	00813	MEDICAID	COLORADO
3	62308	OTHER		CIGNA
4	RMHMO	MEDICAID	COLORADO
5	60054	OTHER		AETNA
6	COACC	MEDICAID	COLORADO
7	87726	OTHER		UNITED HEALTH CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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