MARK HENDRICKSON (NPI# 1023328093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023328093 |
| Entity Type | Individual |
| Full Name | MARK HENDRICKSON |
| Credential | LPC |
| Practice Address |
522 W Black Oak Rd Nixa MO 65714-7865 |
| Practice Telephone | 4172343199 |
| Mailing Telephone | 4172343199 |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2016-05-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013931484 | Mark Allen Hendrickson | Internal Medicine | Rwbahc, Bldg 45001, Sierra Vista Cboc, Ft Huachuca, AZ 85613 | 2006-07-27 |
| 1619581022 | Mark Andrew Hendrickson | Pharmacist | 120 S Buckeye St, Crooksville, OH 43731-1015 | 2020-09-02 |
| 1568491942 | Mark F Hendrickson | Plastic Surgery | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2006-06-30 |
| Street Address |
522 W BLACK OAK RD |
| City | NIXA |
| State | MO |
| Zip Code | 65714-7865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895440 | Lester E Cox Medical Centers | Clinic/Center | 501 N Old Wilderness Road, Nixa, MO 65714 | 2020-09-10 |
| 1568941144 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 105 S Ridgecrest Ave Ste 2, Nixa, MO 65714 | 2018-08-14 |
| 1942706692 | Phillip Marshal Guison | Chiropractor | 696 W Mount Vernon St, Nixa, MO 65714 | 2018-04-02 |
| 1831561554 | Gray Psychological Services LLC | Psychologist | 402 B W. Mt. Vernon Street, Ste 337, Nixa, MO 65714 | 2015-10-21 |
| 1053787317 | Nicole Blanchard | Speech-Language Pathologist | 1801 Quail Ln, Nixa, MO 65714 | 2015-08-20 |
| 1629410766 | Danielle Ranae Lee | Nurse Practitioner | 940 W Mount Vernon St Ste 210, Nixa, MO 65714 | 2013-07-17 |
| 1205197373 | Kelly Dove Dove | Dentist | 725 W Mt. Vernon St., Nixa, MO 65714 | 2012-06-05 |
| 1831473818 | Amy Susan Wells | Pharmacist | 106 N Massey, Nixa, MO 65714 | 2011-10-07 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| Find all providers in zip 65714 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811402134 | Allison Lee Price | Counselor | 380 E State Highway Cc Ste F101, Nixa, MO 65714-7677 | 2017-12-08 |
| 1992141642 | Veronica Kay Munday | Counselor | 969 Creekside Pl, Nixa, MO 65714-6719 | 2013-05-21 |
| 1407194913 | Catherine E Platt | Counselor | 560 W Mount Vernon St, Nixa, MO 65714-9681 | 2013-01-18 |
| 1720372659 | Lisa M Spore | Counselor | 202 S West St Ste 4, Nixa, MO 65714-6902 | 2011-06-08 |
| 1013207612 | Ashley E Pritchett | Counselor | 402b Mt Vernon, #122, Nixa, MO 65714 | 2011-04-15 |
| 1760632400 | Jennifer Lynn Maloney | Counselor | 611a W. Mount Vernon Street, Nixa, MO 65714 | 2008-09-30 |
| 1528256682 | Raquel Annette Morrow | Counselor | 906 Strawberry Ct, Nixa, MO 65714-9706 | 2007-10-13 |
| 1356545594 | Tracie Lynn Roesslet | Counselor | 1812 Bramblewood Ln, Nixa, MO 65714-7332 | 2007-06-12 |
| 1104981596 | Barbara Kay Hylton | Counselor | 380 East Highway Cc, Suite A-105, Nixa, MO 65714 | 2006-12-26 |
| 1285651844 | Donna Gayle Blondo | Counselor | 812 W Jackson Ave, Nixa, MO 65714-8477 | 2006-07-17 |
| Find all providers in NIXA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.