David Hendricks, MA, LCPC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

License

178.006903 Issued in IL

Practice address

1550 Spring Rd Ste 225
Oak Brook, IL 60523

Phone

(630) 403-8735

NPI assigned

Sep 29, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Soulbrite Clinical Associates

  • Mental Health Counselor
  • Oak Brook, IL
  • NPI 1578046066
  NPD Authorized official

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1154630846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 SPRING RD STE 225",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 SPRING RD STE 225",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "60523",
            "telephone_number": "630-403-8735"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 N Main St",
            "address_purpose": "LOCATION",
            "city": "Glen Ellyn",
            "state": "IL",
            "postal_code": "601375176",
            "country_code": "US",
            "telephone_number": "630-279-4359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "DAVID",
        "credential": "MA, LCPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-29",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "IL",
            "license": "178.006903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Jane Hejna, PSY.D.
• Helene a. Jacques, LCPC, PC
• Haile Helmen
• Jeffrey H Hembrough, D.D.S.,M.S.
• Agnieszka A Hendler, DPT
• Christin Henke
• Richard A. Herbert, M.D.
• Mariel Herrera
• Raquel Heyman, MOT
• Britta Hildner

• Behavior Analyst in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.