Individual provider Active NPI

Whitney Alexander Hendricks, LMHC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1891126413
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11047633 Issued in FL
Practice address
4141 Southpoint Dr E Ste a
Jacksonville, FL 32216-8061
Phone
(904) 853-5867
NPI assigned
Dec 7, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11047633 FL Primary
Mental Health Counselor 101YM0800X MH11958 FL

Addresses

Primary practice location

4141 Southpoint Dr E Ste a
Jacksonville, FL 32216-8061

Mailing address

4141 Southpoint Dr E Ste a
Jacksonville, FL 32216-8061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250731000666 FL Practitioner - Mental Health Counselor 4880102086 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11047633FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Behavioral Health, LLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients
Breakthroughs Counseling & Recovery Mental Health PastSince Jul 1, 2024 Accepting new patients
Breakthroughs Counseling and Recovery Inc. Mental Health Past Accepting new patients

Locations

820 Prudential Dr
Ste 512
Jacksonville, FL 32207
Phone (904) 202-7900

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

3650 NW Devane St
Lake City, FL 32055
Phone (386) 755-1221

Organizations & group practices 3

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": "1386374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1891126413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 SOUTHPOINT DR E STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 SOUTHPOINT DR E STE A",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168061",
            "telephone_number": "904-853-5867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "WHITNEY",
        "middle_name": "ALEXANDER",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-07",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11047633",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.