Individual provider Active NPI

Margaret J Hedelius, LCPC

  • Mental Health Counselor
  • Nampa, ID
National Provider Identifier
1770052821
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8776 Issued in ID
Practice address
17 12TH Ave S Ste 201
Nampa, ID 83651-3952
Phone
(208) 570-7234
Fax
(208) 965-2052
NPI assigned
Nov 19, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-6897 ID
Mental Health Counselor 101YM0800X 8776 ID Primary

Addresses

Primary practice location

17 12TH Ave S Ste 201
Nampa, ID 83651-3952

Mailing address

17 12TH Ave S Ste 201
Nampa, ID 83651-3952
Phone (208) 570-7234

Other names 1

  • Ms. Anne Hedelius Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503001233 ID Practitioner - Mental Health Counselor 9436594264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8776IDMDMental Health Counselor
LPC-6897IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Counselor Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: margarethedelius@tdh.allscriptsdirect.net

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1770052821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 12TH AVE S STE 201",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513952",
            "telephone_number": "208-570-7234",
            "fax_number": "208-965-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 12TH AVE S STE 201",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836513952",
            "telephone_number": "208-570-7234",
            "fax_number": "208-965-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDELIUS",
        "first_name": "MARGARET",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "LPC-6897",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ID",
            "license": "8776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "HEDELIUS",
            "prefix": "MS.",
            "credential": "LCPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Nampa, ID

Sources for this page

Verify at the official NPI Registry.