Nolan Robert Hendrickson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2524 E Webster PL Ste 203
Milwaukee, WI 53211-4257

Phone

(414) 964-9200

NPI assigned

May 15, 2026

Last updated

May 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Practice roles

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.

• Lighthouse Clinic LTD

  dba LHC Aquisitions, LLC

  • Psychologist
  • Milwaukee, WI
  • NPI 1912216219

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1778803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778803200000",
    "number": "1164351128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 MAMEROWS LN",
            "city": "WATERFORD",
            "state": "WI",
            "postal_code": "531852892",
            "telephone_number": "262-770-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2524 E WEBSTER PL STE 203",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532114257",
            "telephone_number": "414-964-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "NOLAN",
        "middle_name": "ROBERT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-05-15",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Hendricks, LPN
• Delaney Hendrickson
• Mary L Hendrickson, RPH,MBA
• Matthew Gerard Hendrickson, PTA
• Melissa M Hendrickson, NP
• Jin Ying Heng
• Timothy Henke, DPM
• Tedan Hu Henkel
• Colleen Henley, NP
• Adler David Henn, ATS

• Mental Health Counselor in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Mental Health Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.