Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Jacob A Widdekind, MS

Individual provider Mental Health Counselor · NPI 1720649627

Mr. Jacob A Widdekind, MS is a Mental Health Counselor in Hollywood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2019
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

2421 Hollywood Blvd Ste 1A
Hollywood, FL 33020-6605
Phone: (954) 369-0570
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH17127 (FL)

Record details

NPI number1720649627
Entity typeIndividual (Type 1)
GenderMale
Credentials MS
Sole proprietorYes
NPI enumeratedJune 22, 2019
Last updated in NPPESJune 22, 2019

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