Individual provider Active NPI

Teddi Joelle Hendrickson, MA, LMHC, NCC, PMH-C

  • Mental Health Counselor
  • Spokane, WA
National Provider Identifier
1609576776
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
61202255 Issued in WA
Practice address
705 W 7TH Ave Ste E
Spokane, WA 99204-2836
Phone
(509) 362-5201
NPI assigned
Mar 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 61202255 WA Primary

Addresses

Primary practice location

705 W 7TH Ave Ste E
Spokane, WA 99204-2836

Mailing address

4122 E Pratt Ave
Spokane, WA 99202-5364
Phone (509) 362-5201

Other practice location 1

705 W 7th Ave Ste 1C
Spokane, WA 99204-2847
Phone (509) 362-5201

Other practice location 2

4122 E Pratt Ave
Spokane, WA 99202-5364
Phone (509) 362-5201

Other identifiers 1

IdentifierTypeStateIssuer
1043764368OtherWATYPE 2 NPI FOR MY LLC THAT I AM AN EMPLOYEE OF

Other names 1

  • Teddi Joelle Cripps Other name

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
61202255WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Teddi Cripps LLC Mental Health PastSince Mar 12, 2023 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1609576776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 E PRATT AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992025364",
            "telephone_number": "509-362-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W 7TH AVE STE E",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042836",
            "telephone_number": "509-362-5201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 W 7th Ave Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992042847",
            "country_code": "US",
            "telephone_number": "509-362-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4122 E Pratt Ave",
            "address_purpose": "LOCATION",
            "city": "Spokane",
            "state": "WA",
            "postal_code": "992025364",
            "country_code": "US",
            "telephone_number": "509-362-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKSON",
        "first_name": "TEDDI",
        "middle_name": "JOELLE",
        "credential": "MA, LMHC, NCC, PMH-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "61202255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 2 NPI FOR MY LLC THAT I AM AN EMPLOYEE OF",
            "identifier": "1043764368",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TEDDI",
            "last_name": "CRIPPS",
            "middle_name": "JOELLE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.