Active NPI
Janet M Hendricks, LPCI
- Professional Counselor
- Woodburn, OR
National Provider Identifier
1275944803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C7135
- Practice address
- 1310 Meridian Dr
Woodburn, OR 97071-9668 - Phone
- (503) 953-0310
- NPI assigned
- May 16, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | OR | ||
| Professional Counselor | 101YP2500X | C7135 | OR | Primary |
Addresses
Primary practice location
1310 Meridian Dr
Woodburn, OR 97071-9668
Mailing address
7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216
Other practice location 1
847 NE 19th Ave
Suite 100
Portland, OR 97232-2684
Phone (503) 238-0769
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2013
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C7135 | OR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bright Horizons Psychiatric Group LLC | Current | Accepting new patients | |
| Western Psychological and Counseling Services LLC | Mental Health | Past | Accepting new patients |
Locations
7515 Falcon Crest Dr
#200
Redmond, OR 97756
1310 Meridian Dr
Woodburn, OR 97071
Phone (503) 509-8414
Organizations & group practices 3
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.
-
- Clinical Psychologist
- Tacoma, WA
- NPI 1912008178
Mental Health, OR
-
- Clinical Psychologist
- Vancouver, WA
- NPI 1629345731
-
- Child & Adolescent Psychiatric/Mental Health Registered Nurse
- Redmond, OR
- NPI 1629724695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744848000000",
"number": "1275944803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7515 FALCON CREST DR # 200",
"city": "REDMOND",
"state": "OR",
"postal_code": "977565014",
"telephone_number": "541-904-5216",
"fax_number": "541-527-4347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1310 MERIDIAN DR",
"city": "WOODBURN",
"state": "OR",
"postal_code": "970719668",
"telephone_number": "503-953-0310"
}
],
"practiceLocations": [
{
"address_1": "847 NE 19th Ave",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972322684",
"country_code": "US",
"telephone_number": "503-238-0769",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDRICKS",
"first_name": "JANET",
"middle_name": "M",
"credential": "LPCI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2025-04-17",
"certification_date": "2025-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C7135",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.