Active NPI
Edward Lee Hendrickson, LMFT, LSATP
- Mental Health Counselor
- Alexandria, VA
National Provider Identifier
1285799874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 0717000337
- Practice address
- 5249 Duke St
Suite 200
Alexandria, VA 22304-2926 - Phone
- (703) 823-3972
- NPI assigned
- Dec 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 0718000093 | VA | |
| Mental Health Counselor | 101YM0800X | 0717000337 | VA | Primary |
Addresses
Primary practice location
5249 Duke St
Suite 200
Alexandria, VA 22304-2926
Mailing address
1109 N Howard St
Alexandria, VA 22304-1627
Phone (703) 823-9617
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 9, 2024 through Jan 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0718000093 | VA | MD | Addiction (Substance Use Disorder) Counselor |
| 0717000337 | VA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167091200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1285799874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 N HOWARD ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223041627",
"telephone_number": "703-823-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 DUKE ST",
"address_2": "SUITE 200",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042926",
"telephone_number": "703-823-3972"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "EDWARD",
"middle_name": "LEE",
"credential": "LMFT, LSATP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-26",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "VA",
"license": "0718000093",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "VA",
"license": "0717000337",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.