Individual provider Active NPI

Heather Michelle Hedges

  • Social Worker
  • Mansfield, OH
National Provider Identifier
1669991766
Registry record updated Dec 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1700160 Issued in OH
Practice address
2234 Kentwood Dr
Mansfield, OH 44903-9643
Phone
(419) 961-7372
NPI assigned
Sep 11, 2017
Last updated
Dec 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 161785 OH
Mental Health Counselor 101YM0800X 1700160 OH
Social Worker 104100000X 1700160 OH Primary

Addresses

Primary practice location

2234 Kentwood Dr
Mansfield, OH 44903-9643

Mailing address

2234 Kentwood Dr
Mansfield, OH 44903-9643
Phone (419) 961-7372

Other practice location 1

775 Lexington Ave
Mansfield, OH 44907-1906
Phone (419) 774-4010

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
161785OHMDAddiction (Substance Use Disorder) Counselor
1700160OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1669991766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 KENTWOOD DR",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039643",
            "telephone_number": "419-961-7372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2234 KENTWOOD DR",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449039643",
            "telephone_number": "419-961-7372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "775 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449071906",
            "country_code": "US",
            "telephone_number": "419-774-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2021-12-01",
        "certification_date": "2021-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "161785",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "1700160",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "1700160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.