Stephen D. Hendrix, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APC004704 Issued in GA

Practice address

2487 Demere Rd
Suite 500
Saint Simons Island, GA 31522-5639

Phone

(912) 401-5969

NPI assigned

Oct 30, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Heart Smart

  • Professional Counselor
  • St Simons Island, GA
  • NPI 1407393796
  NPD (past) Authorized official

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1356695282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20832",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315220432",
            "telephone_number": "912-401-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 DEMERE RD",
            "address_2": "SUITE 500",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315225639",
            "telephone_number": "912-401-5969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRIX",
        "first_name": "STEPHEN",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-30",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "GA",
            "license": "122409",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "APC004704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan E Harrington
• Ronald R. Hart, PH.D.
• Heart Smart
• Lee Bruce Heery, MD
• Albert Eben Henderson, MD
• John Arthur Hendry, D.D.S.
• Laura Hepner, LMT; MR; CST
• HHC St. Simons Inc (Focus By the Sea)
• Carlton T Hicks, O.D.
• Kelly Hidalgo, PT

• Professional Counselor in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.