Keith Wilson Edmonds, LPC
NPI 1073844395ActiveIndividual· Counselor, Professional· Evans, GA
Counselor, Professional (LPC) with Personal Recovery Network LLC, practicing in Evans, Georgia. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1073844395 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPC |
| Sole proprietor | Yes |
| NPI issued | Jan 26, 2010 |
| Last updated in NPPES | May 12, 2026 |
| Certified by provider | May 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPC004579 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (GA) |
|---|
Education and affiliations
| Graduation year | 2009 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Personal Recovery Network LLCKissimmee, FL · 611 clinicians
Other professional counselors in Evans
- 1124821871
- 1386924157
- 1457154940
- 1467277244
- 1477381259
- 1487457123
- 1568850345
- 1659733582
- 1669062550
- 1699578211
- 1912700659
- 1942870290
All 66 professional counselors in Evans · All professional counselors in Georgia