MEDICARE: JESSICA LEE EDWARDS TLMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor	094752	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1114446713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA LEE EDWARDS TLMHC

Provider Business Mailing Address
First Line	:	824 FLINDT DR STE 104
Second Line	:
City	:	STORM LAKE
State	:	IA
Zip	:	50588-3208
Country	:	US
Telephone Number	:	800-242-5101
Fax Number	:

Provider Business Practice Location Address
First Line	:	824 FLINDT DR STE 104
Second Line	:
City	:	STORM LAKE
State	:	IA
Zip	:	50588-3208
Country	:	US
Telephone Number	:	800-242-5101
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2017
Last Update Date	:	11/27/2023

Similar Medicare Providers

1477520633 — LISA JOLINE KRAUSE-REINERT LISW
Practice Location Address:

824 FLINDT DR , SUITE 103
STORM LAKE, IA
50588-3208

Practice Phone: 712-732-3736
Practice Fax: 712-732-3275

1972552917 — DIANE SUE MANGOLD LISW
Practice Location Address:

824 FLINDT DR , SUITE 103
STORM LAKE, IA
50588-3208

Practice Phone: 712-732-3736
Practice Fax: 712-732-3275

1326166380 — DOREEN A PEDERSEN RN
Practice Location Address:

824 FLINDT DR , SUITE 103
STORM LAKE, IA
50588-3208

Practice Phone: 712-732-3736
Practice Fax: 712-732-3275

1548622921 — STEVEN DEAN EDWARDS LMHC, IADC
Practice Location Address:

824 FLINDT DR
STORM LAKE, IA
50588-3208

Practice Phone: 712-363-4073
Practice Fax: 712-264-3158

1336848175 — LAUREN NIXON
Practice Location Address:

824 FLINDT DR
STORM LAKE, IA
50588-3208

Practice Phone: 800-242-5101
Practice Fax:

1679325807 — SCOTT ALAN BOHLIN
Practice Location Address:

824 FLINDT DR STE 104
STORM LAKE, IA
50588-3208

Practice Phone: 800-242-5101
Practice Fax:

Directions to “ JESSICA LEE EDWARDS TLMHC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.