IndividualActive
Jacob Widdekind, MS
NPI 1720649627 · Mental Health Counselor · Hollywood, FL
Jacob Widdekind, MS is a Mental Health Counselor provider in Hollywood, FL (NPI 1720649627).
Provider details
- NPI number
- 1720649627
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- MS
- Sex
- Male
- Sole proprietor
- Yes
- License
- MH17127 (FL)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2421 Hollywood Blvd Ste 1a
Hollywood, FL 33020-6605
Phone: (954) 369-0570
Street-level locationGet directions
Mailing address
2421 Hollywood Blvd Ste 1a
Hollywood, FL 33020-6605
Registry dates
- Enumerated
- 2019-06-22
- Last updated
- 2019-06-22
Frequently asked questions
- What is Jacob Widdekind's NPI number?
- Jacob Widdekind's National Provider Identifier (NPI) is 1720649627, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Widdekind's specialty?
- Jacob Widdekind is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Jacob Widdekind located?
- Jacob Widdekind's practice location on file with NPPES is 2421 Hollywood Blvd Ste 1a, Hollywood, FL 33020-6605.
- What is Jacob Widdekind's phone number?
- The practice phone number listed in the NPPES registry for Jacob Widdekind is (954) 369-0570.
- Is Jacob Widdekind's NPI active?
- Yes — Jacob Widdekind's NPI (1720649627) is active in the NPPES registry as of the last update on 2019-06-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.