Individual provider Active NPI

Stephanie Ann Hendricks, NCC,ATR-BC,LPC,LPAT

  • Professional Counselor
  • Cherry Hill, NJ
National Provider Identifier
1649089608
Registry record updated Jan 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00949600 Issued in NJ
Practice address
57 Haddonfield Rd Ste 100
Cherry Hill, NJ 08002-4807
Phone
(609) 889-8100
NPI assigned
Jan 4, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00949600 NJ Primary
Art Therapist 221700000X 16LP00023800 NJ

Addresses

Primary practice location

57 Haddonfield Rd Ste 100
Cherry Hill, NJ 08002-4807

Mailing address

58B Grady Ave
Hamilton, NJ 08610-4527

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250305003037 NJ Practitioner - Mental Health Counselor 6002337128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Behavioral Health Services PCGroup PAC ID 0648288712, 51 clinicians

Practice addresses (Care Compare)

140 E Ridgewood Ave
Suite 415
Paramus, NJ 07652-3915
Phone (800) 275-3243

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00949600NJMDProfessional Counselor
16LP00023800NJMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
NJ Behavioral Health Services PC CurrentSince Feb 15, 2025 Accepting new patients
Where Families Thrive Inc CurrentSince Jan 5, 2025 Accepting new patients

Locations

57 Haddonfield Rd
Ste 100
Cherry Hill, NJ 08002
Phone (609) 889-8100

140 E Ridgewood Ave
Ste 415
Paramus, NJ 07652
Phone (201) 720-1900

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735948800000",
    "number": "1649089608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58B GRADY AVE",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086104527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 HADDONFIELD RD STE 100",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080024807",
            "telephone_number": "609-889-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "STEPHANIE",
        "middle_name": "ANN",
        "credential": "NCC,ATR-BC,LPC,LPAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-01-04",
        "certification_date": "2025-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00949600",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "NJ",
            "license": "16LP00023800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.