NPIMap

Organization Active NPI

Hendrick Counseling Services, Inc

  • Prescribing (Medical) Psychologist
  • Lebanon, TN
National Provider Identifier
1215468467
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prescribing (Medical) PsychologistTaxonomy code 103TP0016X
License
APN0000012314 Issued in TN
Legal business name
HENDRICK COUNSELING SERVICES, INC
Practice address
440 Park Ave
Lebanon, TN 37087-3664
Phone
(615) 449-9611
Fax
(615) 453-7051
NPI assigned
Mar 21, 2017
Last updated
Mar 21, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Mrs. Kimberley Hendrick, LCSWNPI 1003910712
Title
Owner
Phone
(615) 449-9611

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prescribing (Medical) PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TP0016X APN0000012314 TN Primary

Addresses

Primary practice location

440 Park Ave
Lebanon, TN 37087-3664

Mailing address

440 Park Ave
Lebanon, TN 37087
Phone (615) 449-9611

National Provider Directory

National Provider Directory

Locations

440 Park Ave
Lebanon, TN 37087
Phone (615) 419-3224

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1215468467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 PARK AVE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "37087",
            "telephone_number": "615-449-9611",
            "fax_number": "615-453-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 PARK AVE",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370873664",
            "telephone_number": "615-449-9611",
            "fax_number": "615-453-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDRICK COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-449-9611",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "TN",
            "license": "APN0000012314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.