Organization Active NPI

Nikki Hendrickson

  • Mental Health Counselor
  • Norfolk, NE
National Provider Identifier
1578124160
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NIKKI HENDRICKSON
Practice address
100 W Norfolk Ave
Norfolk, NE 68701-5340
Phone
(308) 991-0873
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Authorized official

Name
Nikki Ann Hendrickson, PCMSW, PLMHPNPI 1639738768
Title
Social Worker
Phone
(308) 991-0873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

100 W Norfolk Ave
Norfolk, NE 68701-5340

Mailing address

1112 E Meadow Ridge Rd
Norfolk, NE 68701-7204
Phone (308) 991-0873

Other identifiers 1

IdentifierTypeStateIssuer
1639738768OtherNENPI

National Provider Directory

National Provider Directory

Locations

100 W Norfolk Ave
Norfolk, NE 68701
Phone (308) 991-0873

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562112000000",
    "number": "1578124160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 E MEADOW RIDGE RD",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687017204",
            "telephone_number": "308-991-0873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W NORFOLK AVE",
            "city": "NORFOLK",
            "state": "NE",
            "postal_code": "687015340",
            "telephone_number": "308-991-0873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKKI HENDRICKSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-07-03",
        "status": "A",
        "authorized_official_last_name": "HENDRICKSON",
        "authorized_official_first_name": "NIKKI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "308-991-0873",
        "authorized_official_credential": "PCMSW, PLMHP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639738768",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2019; 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.