MR. JACOB A WIDDEKIND MS
NPI 1720649627
Counselor - Mental Health in Hollywood, FL

Active since June 22, 2019
2421 HOLLYWOOD BLVD STE 1A, HOLLYWOOD, FL 33020(954) 369-0570 Get Directions Write a Review

NPPES record last updated: June 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Jacob A Widdekind Ms NPPES

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

MR. JACOB A WIDDEKIND MS (NPI 1720649627) is an individual mental health provider in Hollywood, Florida, licensed in Florida (MH17127) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1720649627
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. JACOB A WIDDEKINDCredential: MS
Location Address2421 HOLLYWOOD BLVD STE 1AHollywood, FL 33020-6605
Mailing Address2421 Hollywood Blvd Ste 1aHollywood, FL 33020-6605 · (954) 369-0570
Sole ProprietorYes
Enumeration DateJune 22, 2019
NPI 1720649627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH17127
2421 HOLLYWOOD BLVD STE 1A, Hollywood, FL 33020

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 5

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

Clinic/Center (Adult Mental Health)
2421 HOLLYWOOD BLVD STE 1A
HOLLYWOOD, FL 33020
Psychologist (Clinical)
2421 HOLLYWOOD BLVD STE 1A
HOLLYWOOD, FL 33020
Psychologist (Clinical)
2421 HOLLYWOOD BLVD STE 1A
HOLLYWOOD, FL 33020
Psychologist (Clinical)
2421 HOLLYWOOD BLVD STE 1A
HOLLYWOOD, FL 33020
Counselor (Mental Health)
2421 HOLLYWOOD BLVD STE 1A
HOLLYWOOD, FL 33020

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 Jacob Widdekind's NPI number?

The NPI number for Jacob Widdekind is 1720649627. It was assigned to this individual provider in the NPPES registry on June 22, 2019.

Where is Jacob Widdekind located?

Jacob Widdekind practices at 2421 Hollywood Blvd Ste 1A, Hollywood, FL 33020. The listed phone number is (954) 369-0570.

What is Jacob Widdekind's specialty?

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

What insurance does Jacob Widdekind accept?

Health plans from Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jacob Widdekind 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.

When was this NPI record last updated?

The NPPES record for Jacob Widdekind was last updated on June 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.