Kathryn Therese Hendricks

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

108414 Issued in CA

Practice address

777 N 1St St Ste 444
San Jose, CA 95112-6339

Phone

(408) 240-0070

NPI assigned

Sep 6, 2018

Last updated

Sep 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1700369659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N 1ST ST STE 444",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126339",
            "telephone_number": "408-240-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N 1ST ST STE 444",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951126339",
            "telephone_number": "408-240-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "KATHRYN",
        "middle_name": "THERESE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "108414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melody S Henderson
• Pamela Alexandra Henderson
• Elizabeth M Hendley, CPO
• Casey Ryan Hendricks, DC
• Cheyenne Autumn Renee Hendricks
• Rocio Angelica Hendrix, LMFT
• Ryan Hendrix, M.S., CCC-SLP
• Jane Hendry, PCD(DONA), IBCLC
• Martin James Henebury
• Michael James Henehan, DO

• Mental Health Counselor in San Jose, CA
• Providers in San Jose, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; 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.