Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Jeremy R Edge, LPC

Individual provider Mental Health Counselor · NPI 1053836437

Mr. Jeremy R Edge, LPC is a Mental Health Counselor in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2017.

Licensed in
TX
In the registry since
2017
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6320 Lyndon B Johnson Fwy Ste 120
Dallas, TX 75240-6410
Phone: (214) 433-2721
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 70750 (TX)
Mental Health Counselor Taxonomy 101YM0800X · Licence 70750 (TX)

Record details

NPI number1053836437
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC
Sole proprietorNo
NPI enumeratedAugust 7, 2017
Last updated in NPPESDecember 6, 2023
Certification dateDecember 6, 2023

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