Individual provider Active NPI

Keri Hendrix, LMHCA

  • Mental Health Counselor
  • Richland, WA
National Provider Identifier
1003501305
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC61536441 Issued in WA
Practice address
639 Cullum Ave. Ste 854
Richland, WA 99352-3512
Phone
(509) 205-5559
Fax
(509) 292-4155
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC61536441 WA Primary

Addresses

Primary practice location

639 Cullum Ave. Ste 854
Richland, WA 99352-3512

Mailing address

2451 Allison Way
Richland, WA 99352-9341
Phone (509) 205-5559

Other names 1

  • Mrs. Keri Henddrix Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MC61536441WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lycan Counseling, PLLC Mental Health CurrentSince Oct 21, 2025 Accepting new patients
Three Rivers Therapy, LLC Mental Health PastSince Sep 5, 2023 Accepting new patients

Locations

639 Cullum Ave
Unit 854
Richland, WA 99352
Phone (509) 205-5559

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1003501305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 ALLISON WAY",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993529341",
            "telephone_number": "509-205-5559",
            "fax_number": "509-292-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 CULLUM AVE. STE 854",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523512",
            "telephone_number": "509-205-5559",
            "fax_number": "509-292-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "KERI",
        "credential": "LMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC61536441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KERI",
            "last_name": "HENDDRIX",
            "prefix": "MRS.",
            "credential": "LMHCA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.