Rae Ann Hendrickson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

558 Issued in AK

Practice address

5730 E Pilgrim CT
Suite a
Wasilla, AK 99654-7824

Phone

(907) 357-6513

Fax

(907) 357-6514

NPI assigned

Jan 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• 333 Psychological Management

  • Adult Mental Health Clinic/Center
  • Palmer, AK
  • NPI 1851958748
  NPD
• Olive Tree Counseling, Inc.

  • Professional Counselor
  • Wasilla, AK
  • NPI 1225268832

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1285872317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5730 E PILGRIM CT",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547824",
            "telephone_number": "907-357-6513",
            "fax_number": "907-357-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5730 E PILGRIM CT",
            "address_2": "SUITE A",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996547824",
            "telephone_number": "907-357-6513",
            "fax_number": "907-357-6514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "RAE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-28",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "2373",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AK",
            "license": "558",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Heister, PT, DPT
• Melissa Helm, LMT
• Harold Jordan Henderson, LPC
• Lacage Marie Henderson
• Kylie Hendrickson
• Catherine Rosemarie Henn
• Sarah Jane Hennemann, M.D.
• Michelle Hennessey, DPT
• Angela Rene Henry
• Donald Kenton Henry, BSW SOCIAL WORKER

• All providers in Wasilla, AK
• Professional Counselor in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.