MR. JEFFREY PETER WEDGE LCMHC, MLADC
NPI 1770057291
Counselor - Mental Health in Derry, NH

Q: What is Jeffrey Wedge's NPI number?

The NPI number for Jeffrey Wedge is 1770057291. It was assigned to this individual provider in the NPPES registry on January 17, 2019.

Q: What is Jeffrey Wedge's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jeffrey Wedge was last updated on January 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 17, 2019PECOS EnrolledAccepts Medicare Assignment

14A TSIENNETO RD, DERRY, NH 03038(603) 537-1300(603) 845-5135 Get Directions Write a Review

NPPES record last updated: January 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2021, Nov 25, 2020, Jul 26, 2019 and 1 more (4 updates tracked since 2019).

On this page

About Mr. Jeffrey Peter Wedge Lcmhc, Mladc NPPES

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

MR. JEFFREY PETER WEDGE LCMHC, MLADC (NPI 1770057291) is an individual mental health provider in Derry, New Hampshire, licensed in New Hampshire (2295) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1770057291

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. JEFFREY PETER WEDGECredential: LCMHC, MLADC

Location Address14A TSIENNETO RDDerry, NH 03038-1505

Mailing Address14 Tsienneto Rd Bldg BDerry, NH 03038-1647 · (603) 537-1300

Phone(603) 537-1300

Fax(603) 845-5135

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJanuary 17, 2019

Last NPPES UpdateJanuary 18, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 18, 2024

✔ NPI 1770057291 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

License✔ Licensed in NH · 2295

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 0431 (NH)

14A TSIENNETO RD, Derry, NH 03038

Open in Google Maps ↗

Secondary Practice Locations 2

Location 1140 Tarrytown RdManchester, NH 03103-2713 · Phone (603) 663-4472 · Fax (603) 296-2232

Location 22 Wall St Ste 300Manchester, NH 03101 · Phone (603) 668-4111

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jeffrey Peter Wedge Lcmhc, Mladc 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 ID345693701

PECOS Enrollment IDI20240201001839

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

123 services19 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

13 services13 patients

Other Providers at the Same Location NPPES 9

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

VALERIE PIPER LCMHC

Counselor (Mental Health)