Edda Briana Haggerty, M.S.ED.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

115 Bloomingdale Ave
Wayne, PA 19087-4030

Phone

(484) 887-8385

NPI assigned

May 15, 2023

Last updated

May 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Aug 28, 2025 through Aug 28, 2027

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• Growth Minded

  • Professional Counselor
  • West Chester, PA
  • NPI 1154920692
  NPD (past)
• Growth Minded

  dba Growth Minded LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Chester, PA
  • NPI 1962275107
  NPD (past)

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684108800000",
    "number": "1417648197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4532 WALNUT ST APT B13",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191394552",
            "telephone_number": "959-217-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BLOOMINGDALE AVE",
            "city": "WAYNE",
            "state": "PA",
            "postal_code": "190874030",
            "telephone_number": "484-887-8385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "EDDA",
        "middle_name": "BRIANA",
        "credential": "M.S.ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-15",
        "certification_date": "2023-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Quinn Gurtizen, MS, CCC-SLP
• Krista Janine Gydosh, OT
• Robert Gustav Haak, O.D.
• Nathaniel Haas
• Lindsay Haberman
• Courtney Hahn, OTR/L
• Andrea Hake, DOM
• Elizabeth Hall, MSN, APRN, FNP-BC
• Alison Baily Hallam, PT
• Emily Rose Chard Hallam, DMD

• Mental Health Counselor in Wayne, PA
• Providers in Wayne, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.