Active NPI
Brenna Hendricks
- Mental Health Counselor
- Rio Rancho, NM
National Provider Identifier
1144795956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CMH0195401
- Practice address
- 500 Unser Blvd SE Ste 103
Rio Rancho, NM 87124-4660 - Phone
- (505) 916-2007
- NPI assigned
- Oct 8, 2018
- Last updated
- Oct 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CMH0195401 | NM | Primary |
Addresses
Primary practice location
500 Unser Blvd SE Ste 103
Rio Rancho, NM 87124-4660
Mailing address
2820 Ridgecrest Dr SE
Albuquerque, NM 87108-5152
Phone (505) 610-4305
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
| License | State | Type | Specialty |
|---|---|---|---|
| CMH0195401 | NM | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Childs Voice | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba A Child's Voice INC
- Community/Behavioral Health Agency
- Albuquerque, NM
- NPI 1720495682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603065600000",
"number": "1144795956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2820 RIDGECREST DR SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871085152",
"telephone_number": "505-610-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNSER BLVD SE STE 103",
"city": "RIO RANCHO",
"state": "NM",
"postal_code": "871244660",
"telephone_number": "505-916-2007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "BRENNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "CMH0195401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rio Rancho, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.