Organization
EDIFY COUNSELING GROUP LLC
Active
Other names
Edify Creative Counseling Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON-ANTHONY KIRKHAM PRENDERGAST PHD, MBA, BS. (PRESIDENT & CEO)
(888) 773-3439
Entity
Organization
Contact information
Practice address
1451 W CYPRESS CREEK RD, FORT LAUDERDALE, FL 33309-1961
(888) 773-3439
Mailing address
1451 W CYPRESS CREEK RD STE 300, FORT LAUDERDALE, FL 33309-1953
(888) 773-3439
(888) 773-3439
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP1600X
Pastoral Counselor
—
—
101YP2500X
Professional Counselor
Primary
17769
FL
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
02/07/2018
Last updated
09/29/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up