Active NPI
Christopher Hendrick
- Professional Counselor
- Columbia, TN
National Provider Identifier
1629470364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2061
- Practice address
- 604 N High St Ste 100B
Columbia, TN 38401-3216 - Phone
- (931) 477-0588
- NPI assigned
- Sep 25, 2014
- Sex
- Male
- 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 | 2061 | TN | Primary |
Addresses
Primary practice location
604 N High St Ste 100B
Columbia, TN 38401-3216
Mailing address
807 Allison GDNS
Columbia, TN 38401-3002
Phone (931) 477-0588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 1, 2024 through Jul 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2061 | TN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411603200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703030400000",
"number": "1629470364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 ALLISON GDNS",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013002",
"telephone_number": "931-477-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "604 N HIGH ST STE 100B",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384013216",
"telephone_number": "931-477-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICK",
"first_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-09-25",
"last_updated": "2023-12-20",
"certification_date": "2023-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "2061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.