Active NPI
Janice L. Hendryx
- Clinical Social Worker
- Bethany, OK
National Provider Identifier
1265673636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4205
- Practice address
- 3908 N Peniel Ave
Suite 420
Bethany, OK 73008-3458 - Phone
- (405) 603-3265
- Fax
- (405) 603-6624
- NPI assigned
- Mar 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 4205 | OK | Primary |
Addresses
Primary practice location
3908 N Peniel Ave
Suite 420
Bethany, OK 73008-3458
Mailing address
7244 NW 129TH St
Oklahoma City, OK 73142-2544
Phone (405) 517-7612
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200362380B | Medicaid | OK |
Other names 1
- Janice L. Thompson
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1339545600000",
"number": "1265673636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7244 NW 129TH ST",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731422544",
"telephone_number": "405-517-7612",
"fax_number": "405-603-6624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3908 N PENIEL AVE",
"address_2": "SUITE 420",
"city": "BETHANY",
"state": "OK",
"postal_code": "730083458",
"telephone_number": "405-603-3265",
"fax_number": "405-603-6624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRYX",
"first_name": "JANICE",
"middle_name": "L.",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-16",
"last_updated": "2012-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OK",
"license": "4205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200362380B",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JANICE",
"last_name": "THOMPSON",
"middle_name": "L.",
"credential": "M.S.W.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bethany, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.