Individual provider Active NPI

Jena Leigh Hedrick-Walker, LMHC, LPC-S

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1356062723
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15727 Issued in FL
Practice address
2257 The Woods Dr
Jacksonville, FL 32246-1028
Phone
(903) 812-0042
NPI assigned
Sep 6, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 61840 TX
Mental Health Counselor 101YM0800X MH15727 FL Primary

Addresses

Primary practice location

2257 The Woods Dr
Jacksonville, FL 32246-1028

Mailing address

2257 The Woods Dr
Jacksonville, FL 32246-1028
Phone (903) 812-0042

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL na Other

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
MH15727FLMDMental Health Counselor
61840TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1662422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1356062723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 THE WOODS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461028",
            "telephone_number": "903-812-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 THE WOODS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322461028",
            "telephone_number": "903-812-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK-WALKER",
        "first_name": "JENA",
        "middle_name": "LEIGH",
        "credential": "LMHC, LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-06",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "61840",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "na",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "na",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2257 The Woods Dr",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322461028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.