EDDA BRIANA HAGGERTY M.S.ED.
NPI 1417648197
Counselor - Mental Health in Wayne, PA

Active since May 15, 2023Opted out of Medicare · through Aug 28, 2027
115 BLOOMINGDALE AVE, WAYNE, PA 19087(484) 887-8385 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Edda Briana Haggerty M.s.ed. NPPES

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

EDDA BRIANA HAGGERTY M.S.ED. (NPI 1417648197) is an individual mental health provider in Wayne, Pennsylvania and active in the NPI registry since May 2023. She has opted out of Medicare through August 28, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1417648197
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameEDDA BRIANA HAGGERTYCredential: M.S.ED.
Location Address115 BLOOMINGDALE AVEWayne, PA 19087-4030
Mailing Address4532 Walnut St Apt B13Philadelphia, PA 19139-4552 · (959) 217-1131
Sole ProprietorYes
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
NPI 1417648197 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
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
115 BLOOMINGDALE AVE, Wayne, PA 19087

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Edda Briana Haggerty M.s.ed. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 28, 2025 through August 28, 2027.

Opt-Out Effective DateAugust 28, 2025
Opt-Out In Effect ThroughAugust 28, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 3

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

Counselor
115 BLOOMINGDALE AVE
WAYNE, PA 19087
Counselor (Professional)
115 BLOOMINGDALE AVE
WAYNE, PA 19087
Social Worker
115 BLOOMINGDALE AVE
WAYNE, PA 19087

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 Edda Haggerty's NPI number?

The NPI number for Edda Haggerty is 1417648197. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Edda Haggerty located?

Edda Haggerty practices at 115 Bloomingdale Ave, Wayne, PA 19087. The listed phone number is (484) 887-8385.

What is Edda Haggerty's specialty?

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

Is Edda Haggerty enrolled in Medicare?

No. Edda Haggerty has opted out of Medicare through August 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Edda Haggerty was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.