Provider Type Icon

MR. JEFFREY PETER WEDGE LCMHC MLADC NPI 1770057291


NPI Information

NPI: 1770057291
Provider Name: MR. JEFFREY PETER WEDGE, LCMHC, MLADC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
14A TSIENNETO RD
DERRY, NH
ZIP 03038
Phone: (603) 537-1300
Get Directions

MR. Jeffrey Peter Wedge, LCMHC, MLADC is a mental health counselor in Derry, NH with 22 years of experience. MR. Jeffrey Peter Wedge, LCMHC, MLADC NPI is 1770057291. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

14A TSIENNETO RD
DERRY, NH
ZIP 03038-505
Phone: (603) 537-1300
Fax: (603) 845-5135

The NPI 1770057291 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 1/17/2019 and was last updated on 1/18/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)0431NEW HAMPSHIRENo
2101YM0800XCounselorMental Health2295NEW HAMPSHIREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.