Amanda Ann Hendricks, LPCC,ATR-BC,MFA,RYT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

7898 Issued in CA

Practice address

20 S Santa Cruz Ave Ste 300
Los Gatos, CA 95030-6827

Phone

(888) 707-3267

Fax

(669) 356-1460

NPI assigned

Aug 4, 2020

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Fine Arts

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

{
    "created_epoch": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1982214912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 728",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950310728",
            "telephone_number": "888-707-3267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S SANTA CRUZ AVE STE 300",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950306827",
            "telephone_number": "888-707-3267",
            "fax_number": "669-356-1460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "AMANDA",
        "middle_name": "ANN",
        "credential": "LPCC,ATR-BC,MFA,RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "7898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Hands Sanctuary of Idaho
• Helping Hands Sanctuary of Idaho, Inc.
• Hema Jhamb DDS Inc
• Mary Jane Henderson, GNP
• Chelsea Jennan Hendow, MD
• Charlotte Y. Hendricks, LMFT
• Deborah A Hennessee, MA, LMFT, LPCC
• Henry J. Fee MD Medical Corporation
• Adama Henry
• Joel Hensley, PT

• Professional Counselor in Los Gatos, CA
• Providers in Los Gatos, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.