Jacob Andrew Hedges, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

008220 Issued in NY

Practice address

5 W Cayuga St
Oswego, NY 13126-2031

Phone

(315) 342-9255

NPI assigned

Oct 2, 2018

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 29, 2024 through Jan 29, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Integrative Mental Health Counseling Services, PLLC

  • Mental Health Counselor
  • Oswego, NY
  • NPI 1578740403
  NPD (past)

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

{
    "created_epoch": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1578048898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 W 4TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131261524",
            "telephone_number": "315-720-3262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 W CAYUGA ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262031",
            "telephone_number": "315-342-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "JACOB",
        "middle_name": "ANDREW",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "008220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey D Haven
• Amanda J Hazen, OTR/L
• Kathaleen Healy, RN
• Heather L Rice LMHC PLLC Counseling Services
• Elizabeth Megan Heckert, MS CAS
• Sariah Noelle Hedrick-Attari, PA
• Arizona Jack Hedrick, DPT
• Jennifer Eileen Helmer, LPN
• Emily Hennigan, M.S. CF-SLP
• Jacqueline Hennigan, MA CCC-SLP

• Mental Health Counselor in Oswego, NY
• Providers in Oswego, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.

Verify at the official NPI Registry.