Individual provider Active NPI

Sabrina Hendricks

  • Mental Health Counselor
  • Tobyhanna, PA
National Provider Identifier
1679218838
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
017679 Issued in NY
Practice address
8142 Mayfair Rd
Tobyhanna, PA 18466-8253
Phone
(570) 926-6780
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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 017679 NY Primary

Addresses

Primary practice location

8142 Mayfair Rd
Tobyhanna, PA 18466-8253

Mailing address

8142 Mayfair Rd
Tobyhanna, PA 18466-8253
Phone (570) 926-6780

Other practice location 1

8142 Mayfair Rd
Tobyhanna, PA 18466-8253
Phone (570) 926-6780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260506001690 NY Practitioner - Mental Health Counselor 6901374107

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3249 Kingsbridge Ave
Bronx, NY 10463-5514

8142 Mayfair Rd
Tobyhanna, PA 18466-8253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
017679NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1679218838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8142 MAYFAIR RD",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668253",
            "telephone_number": "570-926-6780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8142 MAYFAIR RD",
            "city": "TOBYHANNA",
            "state": "PA",
            "postal_code": "184668253",
            "telephone_number": "570-926-6780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8142 Mayfair Rd",
            "address_purpose": "LOCATION",
            "city": "Tobyhanna",
            "state": "PA",
            "postal_code": "184668253",
            "country_code": "US",
            "telephone_number": "570-926-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "SABRINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "017679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tobyhanna, PA

Sources for this page

Verify at the official NPI Registry.