Active NPI
Jamie Nicole Sedgwick, LCPC
- Professional Counselor
- Hagerstown, MD
National Provider Identifier
1295248680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC7133
- Practice address
- 229 N Potomac St
Hagerstown, MD 21740-3812 - Phone
- (301) 733-5858
- Fax
- (301) 733-5626
- NPI assigned
- Nov 8, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC7133 | MD | Primary |
Addresses
Primary practice location
229 N Potomac St
Hagerstown, MD 21740-3812
Mailing address
1404 Scheer St
Brunswick, MD 21716-9725
Phone (410) 714-9659
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 27, 2024 through Jun 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC7133 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510099200000",
"number": "1295248680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 SCHEER ST",
"city": "BRUNSWICK",
"state": "MD",
"postal_code": "217169725",
"telephone_number": "410-714-9659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 N POTOMAC ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217403812",
"telephone_number": "301-733-5858",
"fax_number": "301-733-5626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDGWICK",
"first_name": "JAMIE",
"middle_name": "NICOLE",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC7133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.