Mackenzie B Hendricks

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

410 E Church St
Fort Valley, GA 31030-3097

Phone

(478) 825-6499

NPI assigned

Jan 29, 2022

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1643414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1992458046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S CORDER RD APT 817",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885719",
            "telephone_number": "478-335-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E CHURCH ST",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310303097",
            "telephone_number": "478-825-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 Northside Dr Ste D250",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312102591",
            "country_code": "US",
            "telephone_number": "404-594-1513",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDRICKS",
        "first_name": "MACKENZIE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-29",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Lucille Harden, FNP-C
• Vanecia Harris
• Lyndia Hawkins
• Health Services of Central Georgia, Inc
• Healthstat Onsite HSM Fort Valley
• Vanessa Hernandez, APRN
• Beverly W Hicks, RN
• Ethel Hillman
• Ikestines Family Solution
• JBC Assisted Living Group Home

• All providers in Fort Valley, GA
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 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.

Verify at the official NPI Registry.