1. Home
  2. Directory
  3. Vermont
  4. Brattleboro
  5. Counselor
  6. NPI Profile

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

Active since December 27, 2006PECOS Enrolled
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: August 02, 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, maintains 2 additional practice locations, and is a graduate of Other (1996).

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
Phone(802) 254-6028
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
Open in Google Maps ↗

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack J. Heddon M.a., Ncc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

THOMAS HEISLER MS BCBA
Behavior Analyst
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Windham County (802) 254-6028
KNOWLES WENTWORTH
Community Health Worker
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Windham County (802) 254-6028
KRISTIN LW BRATTON MSW
Counselor (Professional)
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Windham County (802) 254-6028
MARY G. COVENTRY MA LCMHC
Counselor (Mental Health)
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Windham County (802) 254-6028
JUDITH DICKERMAN-NELSON AAP
Community Health Worker
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Windham County (802) 254-6028
MRS. LYDIA M BARNES MA LCMHC
Counselor (Mental Health)
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Windham County (802) 254-6028
MS. M DENISE WISSELL M. ED
Counselor (Mental Health)
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Windham County (802) 254-6028
MS. DEBORAH K TITUS MSW LICSW
Psychologist
51 FAIRVIEW STREET
BRATTLEBORO, VT 05301
Windham County (802) 254-7500

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 enrollment system.

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 7 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.