Jessica Bedrich, LCPC
Individual provider Active NPI Professional Counselor · Miami, FL
NPI 1558026625 · NPPES record last updated Jan 11, 2022
Key facts
- NPI
- 1558026625
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180013908 (IL)
- Practice address
- 66 W Flagler St Ste 900
Miami, FL 33130-1807 - Phone
- (786) 244-7711
- NPI assigned
- Nov 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180013908 | IL | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 180013908 | IL | Yes |
Addresses
Primary practice location
66 W Flagler St Ste 900
Miami, FL 33130-1807
Mailing address
2115 N Saint Louis Ave Apt 1
Chicago, IL 60647-3525
Phone (630) 346-7767
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All providers in Miami, FL · Professional Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.