Active NPI
Kayla R Hendrickson, LPC
- Professional Counselor
- New Britain, CT
National Provider Identifier
1598131419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 4549
- Practice address
- 233 Main St
New Britain, CT 06051-4204 - Phone
- (860) 384-3795
- NPI assigned
- Aug 14, 2015
- Last updated
- Mar 10, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 4549 | CT | Primary |
Addresses
Primary practice location
233 Main St
New Britain, CT 06051-4204
Mailing address
233 Main St
New Britain, CT 06051-4204
Phone (860) 384-3795
Other practice location 1
360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700
Phone (860) 607-3235
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health Affiliates Inc | Past | Accepting new patients | |
| Clark Counseling Services LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New Britain, CT
- NPI 1174624423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615334400000",
"number": "1598131419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 MAIN ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060514204",
"telephone_number": "860-384-3795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 MAIN ST",
"city": "NEW BRITAIN",
"state": "CT",
"postal_code": "060514204",
"telephone_number": "860-384-3795"
}
],
"practiceLocations": [
{
"address_1": "360 Bloomfield Ave Ste 301",
"address_purpose": "LOCATION",
"city": "Windsor",
"state": "CT",
"postal_code": "060952700",
"country_code": "US",
"telephone_number": "860-607-3235",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDRICKSON",
"first_name": "KAYLA",
"middle_name": "R",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-08-14",
"last_updated": "2021-03-10",
"certification_date": "2021-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CT",
"license": "4549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Britain, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.