Individual provider Active NPI

Jocelyn Bednark

  • Addiction (Substance Use Disorder) Counselor
  • South Yarmouth, MA
National Provider Identifier
1184411399
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
2050 Issued in MA
Practice address
31A Workshop Rd
South Yarmouth, MA 02664-1210
Phone
(508) 398-5155
Fax
(508) 398-3478
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2050 MA Primary

Addresses

Primary practice location

31A Workshop Rd
South Yarmouth, MA 02664-1210

Mailing address

42 Radcliff Rd
Mashpee, MA 02649-2261
Phone (508) 648-5174

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
2050MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Habit Opco, LLC PastSince Apr 27, 2025 Accepting new patients
Habit Opco, LLC PastSince Apr 27, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1184411399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 RADCLIFF RD",
            "city": "MASHPEE",
            "state": "MA",
            "postal_code": "026492261",
            "telephone_number": "508-648-5174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31A WORKSHOP RD",
            "city": "SOUTH YARMOUTH",
            "state": "MA",
            "postal_code": "026641210",
            "telephone_number": "508-398-5155",
            "fax_number": "508-398-3478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNARK",
        "first_name": "JOCELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "2050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Yarmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.