Active NPI
Daniel E. Hendricks, PH.D., ADC
- Addiction (Substance Use Disorder) Counselor
- Augusta, GA
National Provider Identifier
1851332621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 203
- Practice address
- 1287 Marks Church Rd
Suite F
Augusta, GA 30909-6330 - Phone
- (706) 481-8181
- NPI assigned
- Jun 10, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 203 | GA | Primary |
| Psychologist | 103T00000X | 973 | GA |
Addresses
Primary practice location
1287 Marks Church Rd
Suite F
Augusta, GA 30909-6330
Mailing address
3535 Interlachen Dr
Augusta, GA 30907-9528
Phone (706) 481-8181
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 973 | Other | GA | PSYCHOLOGY LICENSE |
| 00472821B | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 973 | GA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1851332621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 INTERLACHEN DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309079528",
"telephone_number": "706-481-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1287 MARKS CHURCH RD",
"address_2": "SUITE F",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309096330",
"telephone_number": "706-481-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDRICKS",
"first_name": "DANIEL",
"middle_name": "E.",
"credential": "PH.D., ADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "203",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "973",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGY LICENSE",
"identifier": "973",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00472821B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.