Individual provider Active NPI

Wendi Anne Hieronymus, LCMHC

  • Mental Health Counselor
  • Bedford, NH
National Provider Identifier
1003492679
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
741 Issued in NH
Practice address
103 County Rd
Bedford, NH 03110-6202
Phone
(603) 310-9000
Fax
(603) 472-3024
NPI assigned
Mar 23, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 741 NH Primary

Addresses

Primary practice location

103 County Rd
Bedford, NH 03110-6202

Mailing address

103 County Rd
Bedford, NH 03110-6202
Phone (603) 310-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
741NHMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1003492679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COUNTY RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106202",
            "telephone_number": "603-310-9000",
            "fax_number": "603-472-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COUNTY RD",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106202",
            "telephone_number": "603-310-9000",
            "fax_number": "603-472-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIERONYMUS",
        "first_name": "WENDI",
        "middle_name": "ANNE",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-23",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NH",
            "license": "741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.