Active NPI
Heather Michelle Hedges
- Social Worker
- Mansfield, OH
National Provider Identifier
1669991766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1700160
- Practice address
- 2234 Kentwood Dr
Mansfield, OH 44903-9643 - Phone
- (419) 961-7372
- NPI assigned
- Sep 11, 2017
- Last updated
- Dec 1, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 161785 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| 1700160 | OH | MD | Mental 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.