JACK J. HEDDON M.A., NCC
NPI 1164587481
Counselor - Mental Health in Brattleboro, VT

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
51 FAIRVIEW STREET, BRATTLEBORO, VT 05301(802) 254-6028(802) 254-7501 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 29, 2025, Jan 30, 2019 (2 updates tracked since 2019).

About Jack J. Heddon M.a., Ncc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK J. HEDDON M.A., NCC (NPI 1164587481) is an individual mental health provider in Brattleboro, Vermont, licensed in Vermont (068.0122899) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1164587481
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK J. HEDDONCredential: M.A., NCC
Location Address51 FAIRVIEW STREETBrattleboro, VT 05301-8881
Mailing Address390 River StSpringfield, VT 05156-2226 · (802) 886-4500 · Fax (802) 886-4520
Fax(802) 254-7501
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateDecember 27, 2006
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1164587481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in VT · 068.0122899✔ Licensed in NH · 2593
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 097.0121746 (VT)
51 FAIRVIEW STREET, Brattleboro, VT 05301

Secondary Practice Locations 2

Location 1580 Court StKeene, NH 03431-1729 · Phone (603) 354-5400
Location 2590 Court StKeene, NH 03431-1719 · Phone (603) 354-5400

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jack J. Heddon M.a., Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648758458
PECOS Enrollment IDI20260203000998
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Jack Heddon reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
580 COURT STREET, EMERGENCY MEDICINE
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 450 clinicians in this Medicare group
Rehabilitation, Substance Use Disorder
24 RAILROAD ST
Keene, NH 03431
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,999 clinicians in this Medicare group
General Acute Care Hospital
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Community Health Worker
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Counselor (Professional)
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Counselor (Mental Health)
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Community Health Worker
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Counselor (Mental Health)
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Counselor (Mental Health)
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Psychologist
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Heddon's NPI number?

The NPI number for Jack Heddon is 1164587481. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Jack Heddon located?

Jack Heddon practices at 51 Fairview Street, Brattleboro, VT 05301. The listed phone number is (802) 254-6028.

What is Jack Heddon's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jack Heddon enrolled in Medicare?

Yes. Jack Heddon is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jack Heddon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Heddon reassigns Medicare benefits to 3 organizations: Cheshire Medical Center (Keene, NH), Dartmouth-Hitchcock Clinic (Keene, NH) and Mary Hitchcock Memorial Hospital (Lebanon, NH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jack Heddon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Heddon accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Jack Heddon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jack Heddon affiliated with any hospitals?

According to CMS data, Jack Heddon is affiliated with Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jack Heddon was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.