Donleen M Hendricks, LPC, CGACII

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CGAC II Issued in OR

Practice address

847 NE 19TH Ave
Suite 100
Portland, OR 97232-2684

Phone

(503) 963-2577

Fax

(503) 239-5953

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1356489736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7532 SW BARNES RD",
            "address_2": "#D",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972256235",
            "telephone_number": "503-313-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "847 NE 19TH AVE",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972322684",
            "telephone_number": "503-963-2577",
            "fax_number": "503-239-5953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "DONLEEN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LPC, CGACII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OR",
            "license": "CGAC II",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGACII",
            "identifier": "101YA0400X",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evelyn Joanna Hendig
• Alan Perry Hendin, MD
• Tammy Lynne Hendon, CRM, PSS, CADCR
• Jadene Hendricks-Jensen, RN
• Delroy Fitzalbert Hendricks Jr.
• Laura Hendricks, D.O.
• Michael Jesse Hendricks, M.D.
• Brianna Michelle Hendrickson
• David Hendrickson, BA
• Elizabeth Hendrickson

• Addiction (Substance Use Disorder) Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2008; 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.