Pamela J. Hendrickson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1097 Issued in SD

Practice address

623 Dahl Rd
Spearfish, SD 57783

Phone

(605) 642-2777

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Pamela J. Hendrickson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Behavior Management Systems, Inc.

  • Community/Behavioral Health Agency
  • Rapid City, SD
  • NPI 1295878122
  NPD (past)
• Pain Solutions, LLC

  • Counselor
  • Rapid City, SD
  • NPI 1407949084
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1124234893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 DAHL RD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577832782",
            "telephone_number": "605-920-0365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 DAHL RD",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "57783",
            "telephone_number": "605-642-2777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2404 Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Rapid City",
            "state": "SD",
            "postal_code": "577023450",
            "country_code": "US",
            "telephone_number": "605-737-0769",
            "fax_number": "605-721-1196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "PAMELA",
        "middle_name": "J.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SD",
            "license": "1097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "HENDRICKSON",
            "middle_name": "J.",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Carmen L Heaphy, LPC
• Heartland Day Connections LLC
• Heartland Senior Living, LLC
• Kraig Heil
• Mark Stephen Heine, PA-C
• Kimberley B Hepper, MNT
• Katherin Ann Hernandez
• Tammy Kay Hersch, O.D.
• William Kenneth Heston, CRNA
• Heather L Higgins-Munro, OTR/L

• All providers in Spearfish, SD
• Mental Health Counselor in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.