Sandra J Kendrick, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-001950 Issued in IL

Practice address

8941 S Western Ave
Chicago, IL 60620-6132

Phone

(773) 785-5519

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287100800000",
    "number": "1447391966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 W 83RD PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606523316",
            "telephone_number": "773-785-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8941 S WESTERN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606206132",
            "telephone_number": "773-785-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "SANDRA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2010-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-001950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "742264000",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "742264000",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPSYCH",
            "identifier": "192541",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Nicole Kendall
• Kender Family Services LLC
• Michelle Marie Kendrick Hartney, LPC
• Aisha Kendrick
• Karin Kendrick
• Tatiana C. Kendrick, LICENSED SOCIAL WORK
• Tiffany Kendrigan, FNP-BC
• Nicole Shawn Kendrix
• Grace Kendzior, LSW
• Kathryn Marie Kendzior, MA, CF-SLP

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2010; 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.