Breanna Hendricks

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

080127 Issued in IA

Practice address

6165 NW 86TH St
Johnston, IA 50131-2240

Phone

(515) 329-4792

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

Yes

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

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Compass Clinical Associates PLLC

  • Social Worker
  • Urbandale, IA
  • NPI 1295081941
  Medicare reassignment NPD
• Authentic Life Counseling Services, Inc

  • Mental Health Counselor
  • Johnston, IA
  • NPI 1134072861
  NPD Authorized official

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771891200000",
    "number": "1710359153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 HARTFORD AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503151358",
            "telephone_number": "708-203-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6165 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312240",
            "telephone_number": "515-329-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "BREANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IA",
            "license": "080127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heartland Chiropractic and Wellness Center, PLC
• Heartland Residential Care LLC
• Barbara L Heck, ARNP
• Erin Helleso, LISW
• Laura Lynn Henderson, PTA
• Kelly Henkels, LMSW
• Beth Hennes, MS,OTR/L
• Herrmann Family Chiropractic LLC
• Eric Herrmann, D.C.
• Megan Marie Herrmann, D.C.

• Mental Health Counselor in Johnston, IA
• Providers in Johnston, IA by specialty
• Mental Health Counselor in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.