Jessica Lynn Hendrickson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2012041945 Issued in MO

Practice address

5548 N Farmer Branch Rd
Ozark, MO 65721-5315

Phone

(417) 322-6622

Fax

(417) 350-1935

NPI assigned

Jan 3, 2013

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 1

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.

• Rural Mental Health Services, LLC

  • Clinical Psychologist
  • Mansfield, MO
  • NPI 1770810269
  NPD (past)
• Rural Psychologists & Associates LLC

  • Clinical Psychologist
  • Mansfield, MO
  • NPI 1437182938
  NPD (past)

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1447597943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 S NATIONAL AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658077311",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 N FARMER BRANCH RD",
            "city": "OZARK",
            "state": "MO",
            "postal_code": "657215315",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "739 S Long Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658025904",
            "country_code": "US",
            "telephone_number": "417-343-5405",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 S National Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658077311",
            "country_code": "US",
            "telephone_number": "417-322-6622",
            "fax_number": "417-350-1935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2012041945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI LPC LICENSE",
            "identifier": "2022007016",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haven Physical Therapy LLC
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• Healthdirect Institutional Pharmacy Services, Inc.
• Carl Hefner, RPH
• Harper Grace Henson, M.S., SLP-CF
• Jeanine M Herrera, FNP
• Abbey Hibbert, FNP
• Nicolette M Hightower
• Sam Hill, DC

• Professional Counselor in Ozark, MO
• Providers in Ozark, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.