Zachary S Hedges, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

P1907089 Issued in AR

Practice address

3700 Medical Center Pkwy
Bentonville, AR 72712-3222

Phone

(479) 721-2110

NPI assigned

Sep 8, 2014

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Revival Collaborative LLC

  • Mental Health Counselor
  • Bentonville, AR
  • NPI 1407515620
  NPD

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

{
    "created_epoch": "1410134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678233600000",
    "number": "1356742464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3202 SW HAZELNUT AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727133195",
            "telephone_number": "479-636-0083",
            "fax_number": "479-636-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 MEDICAL CENTER PKWY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123222",
            "telephone_number": "479-721-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1116 S Walton Blvd Ste 161",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727126192",
            "country_code": "US",
            "telephone_number": "479-721-2110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "ZACHARY",
        "middle_name": "S",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-08",
        "last_updated": "2023-03-08",
        "certification_date": "2023-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P1907089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "235478719",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Haynes
• Elizabeth A Hays
• Healing Paths, PLLC
• Healing Springs Anesthesia, PLLC
• Healthfair Plus PA
• Emily Hedrick
• Linnea Marie Heintz, LPC, DT, CRC
• Joshauha Helm
• Lauren Helms, DC
• Brittany G Henderson

• Professional Counselor in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Professional Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2023; 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.