Healthcare Provider Details

I. General information

NPI: 1154981330
Provider Name (Legal Business Name): KATHERINE R EDGAR MA, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 W DRY CREEK CIR # 201-3
LITTLETON CO
80120-8060
US

IV. Provider business mailing address

13918 E MISSISSIPPI AVE # 137
AURORA CO
80012-3603
US

V. Phone/Fax

Practice location:
  • Phone: 303-746-0354
  • Fax:
Mailing address:
  • Phone: 303-746-0354
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: