Active NPIIndividual provider

Jack J Heddon, MA, NCC

Counselor, Mental Health in Brattleboro, Vermont

NPI Number1164587481
Practice location
51 Fairview Street, Brattleboro, VT 05301-8881
Fax
802-254-7501
Last updated
December 29, 2025

Jack J. Heddon is a Counselor, Mental Health based in Brattleboro, VT. Jack J. Heddon practices in Brattleboro, VT and has the professional credentials of MA, NCC. The NPI Number for Jack J. Heddon is 1164587481 and holds a License No. 2593 (NH). The current practice location address for Jack J. Heddon is 51 Fairview Street, Brattleboro, VT 05301-8881 and can be reached out via phone at 802-254-6028 and via fax at 802-254-7501.

Provider Profile Details

NPI Number
1164587481
Provider Name
Jack J. Heddon
Credential
MA, NCC
Provider Entity Type
Individual
Gender
Male
Address
51 Fairview Street, Brattleboro, VT 05301-8881
Phone Number
802-254-6028
Fax Number
802-254-7501
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
December 27, 2006
Last Update Date
December 29, 2025
Certification Date
December 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Fairview Street
Brattleboro, VT 05301-8881
State
Vermont
Zip
05301-8881
Phone Number
802-254-6028
Fax Number
802-254-7501
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
390 River St
Springfield, VT 05156-2226
City
Springfield
State
VT
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4520

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
2593
License State (2)
NH
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
097.0121746
License State (3)
VT
Taxonomy (3)
Counselor, Professional · 101YP2500X
License Number (4)
068.0122899
License State (4)
VT
Taxonomy (4)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jack J Heddon, MA, NCC?

The NPI number of Jack J Heddon, MA, NCC is 1164587481. It was assigned on December 27, 2006 and is currently active in the NPPES registry.

What is the specialty of Jack J Heddon, MA, NCC?

Jack J Heddon, MA, NCC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NH under license number 2593.

Where does Jack J Heddon, MA, NCC practice?

The practice location is 51 Fairview Street, Brattleboro, VT 05301-8881. The office can be reached at 802-254-6028 (phone) or 802-254-7501 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164587481 directly on the NPPES registry website.

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