HEIDI JENNIFER HEDRICK – Professional Counselor, NPI 1194563858

HEIDI JENNIFER HEDRICK is a healthcare provider. based in Gainesvile, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH23854 (FL). The NPI Number for HEIDI JENNIFER HEDRICK is 1194563858

Main info

Female
Sole Proprietor
6 Years Of Experience
Name
HEIDI JENNIFER HEDRICK
NPI
1194563858
Phone
(352) 265-7810
Address
8763 SW 27T LN #101
Enumeration Date
17 July 2024
Last Update Date
14 November 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3522650294
Graduation Year
2020 (6 years ago)
PAC ID
5991239980
Group Practice PAC ID
3274526876
Professional Enrollment ID
I20241113003329
Address ID
FL326100166GA1600XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience31
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,020 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for HEIDI JENNIFER HEDRICK

  • 8763 SW 27T LN #101

    GAINESVILE, FL 32608

    Phone: (352) 265-7810

    Fax: (352) 627-4889

    Type: Mailing

  • 1600 SW ARCHER RD

    GAINESVILLE, FL 326103003

    Phone: (352) 265-7981

    Type: Location

  • 8763 SW 27t ln #101

    Gainesvile, FL 32608

    Phone: (352) 265-7810

    Fax: (352) 627-4889

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241113003329IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3274526876View full group profile

Reviews

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Frequently asked questions

What is the registry number for HEIDI JENNIFER HEDRICK?
The registry entry for HEIDI JENNIFER HEDRICK shows NPI 1194563858.
Is HEIDI JENNIFER HEDRICK's NPI status active today?
Active status means HEIDI JENNIFER HEDRICK's NPI record is not deactivated in the public file.
What type of care does HEIDI JENNIFER HEDRICK provide?
HEIDI JENNIFER HEDRICK's profile centers on Professional Counselor. Clinical services aligned with this taxonomy classification.
Which community is linked to HEIDI JENNIFER HEDRICK?
HEIDI JENNIFER HEDRICK shows a connection to Gainesvile, Florida in registry-derived data.
Can I export HEIDI JENNIFER HEDRICK's record?
You can download the official NPPES record; we summarize key fields for readability.

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