IndividualActive
Jimmy Edgeworth
NPI 1790908671 · Counselor · Stockton, CA
Jimmy Edgeworth is a Counselor provider in Stockton, CA (NPI 1790908671).
Provider details
- NPI number
- 1790908671
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1117 S Grant St
Stockton, CA 95206-1626
Phone: (209) 461-6500
Street-level locationGet directions
Mailing address
8210 S Bright Rd
French Camp, CA 95231-9759
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jimmy Edgeworth's NPI number?
- Jimmy Edgeworth's National Provider Identifier (NPI) is 1790908671, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jimmy Edgeworth's specialty?
- Jimmy Edgeworth is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Jimmy Edgeworth located?
- Jimmy Edgeworth's practice location on file with NPPES is 1117 S Grant St, Stockton, CA 95206-1626.
- What is Jimmy Edgeworth's phone number?
- The practice phone number listed in the NPPES registry for Jimmy Edgeworth is (209) 461-6500.
- Is Jimmy Edgeworth's NPI active?
- Yes — Jimmy Edgeworth's NPI (1790908671) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.