Paul Hendricks

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2002006998 Issued in MO

Practice address

200 NE Missouri Rd
Suite 200
Lees Summit, MO 64086-4722

Phone

(816) 298-4862

Fax

(816) 251-4599

NPI assigned

Dec 20, 2005

Sex

Male

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

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": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323648000000",
    "number": "1922084060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "address_2": "SUITE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "816-298-4662",
            "fax_number": "816-251-4599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NE MISSOURI RD",
            "address_2": "SUITE 200",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640864722",
            "telephone_number": "816-298-4862",
            "fax_number": "816-251-4599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "PAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2011-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2002006998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarissa Helms
• Amir Hemaya, MD
• Whitney Renae Hemphill
• Melisa Imelda Hendren, COTA/L
• Diane Hendricks, LCSW
• Nicholas Hendrix
• Karen Henley
• Aimee Henry, DC
• Dilyn Henry, M.A.
• Stephanie Henry, PHARMD

• Mental Health Counselor in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2011; 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.