NICHOLE HENDRICKS (NPI# 1770705790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770705790 |
Entity Type | Individual |
Full Name | NICHOLE HENDRICKS |
Credential | LCP |
Practice Address |
119 E 2nd Street The Dalles OR 97058 |
Mailing Address |
Po Box 870 Beaverton OR 97075 |
Practice Telephone | 5412965400 |
Mailing Telephone | 5412965400 |
Enumeration Date | 2007-05-02 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
C1928 | OR | Behavioral Health & Social Service Providers |
Street Address |
119 E 2ND STREET |
City | THE DALLES |
State | OR |
Zip Code | 97058 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538646864 | Ashlee Kai Mcnamara | Behavior Technician | 2525 W 8th St., #34, The Dalles, OR 97058 | 2018-07-19 |
1548784689 | Mireya Moreno Ibarra | Behavior Technician | 401 East 3rd Street, Suite 101, The Dalles, OR 97058 | 2017-07-31 |
1407304991 | Joshua Seidel | Pharmacist | 515 Mt Hood St, The Dalles, OR 97058 | 2016-09-14 |
1366809048 | Mid-columbia Medical Center | Surgery | 1810 E. 19th St. #225, The Dalles, OR 97058 | 2016-01-26 |
1558731141 | Louise Goodnight | Case Manager/Care Coordinator | 419 East 7 Th Street, The Dalles, OR 97058 | 2015-09-25 |
1578944666 | Jessica Donnell | Dental Hygienist | 2529 E 12th St, The Dalles, OR 97058 | 2015-06-15 |
1487034328 | Savanna Schaan | Specialist | 609 W 14th St, The Dalles, OR 97058 | 2015-06-05 |
1801299102 | Mary E Zenorini | Social Worker | 1620 E. 12th St, The Dalles, OR 97058 | 2014-09-30 |
1669889143 | Diane Joan Irwin | Social Worker | 419 E 7th St #207, The Dalles, OR 97058 | 2014-07-17 |
1124452008 | Lacey A Nichols | Counselor | 312 E. Third St., The Dalles, OR 97058 | 2013-08-27 |
Find all providers in zip 97058 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124395702 | Lori Marques | Counselor | 101 W 10th St, The Dalles, OR 97058-1931 | 2011-11-25 |
1205156452 | Lucia Gonzales | Counselor | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2010-06-09 |
1457597692 | Susan E Sisko | Counselor | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2008-12-17 |
1649416884 | Alexander P Barton | Counselor | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2008-12-17 |
1962564799 | Darlene M Kemper | Counselor | 419 E 7th St Ste 207, The Dalles, OR 97058-2676 | 2006-12-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326649005 | Birgit Essl | Counselor | 925 Nw Wall St Ste 203, Bend, OR 97703-2052 | 2020-11-08 |
1063013373 | Ruth Tessema | Counselor | 2120 Ne 166th Dr, Portland, OR 97230-5558 | 2020-11-03 |
1578161964 | Joyful Living Behavioral Health Inc | Counselor | 107 W Q St, Springfield, OR 97477-2171 | 2020-10-16 |
1598362626 | Ascension Counseling LLC | Counselor | 15 Sw Colorado Ave Ste 127, Bend, OR 97702-1229 | 2020-10-01 |
1902413297 | Barbara Jenkins Jenkins Lehman | Counselor | 131 Nw Hawthorne Ave Ste 102, Bend, OR 97703-2957 | 2020-09-30 |
1326654021 | Lori Michelle Severson | Counselor | 12250 Sw 2nd St Ste B-103, Beaverton, OR 97005-2828 | 2020-09-17 |
1063020691 | Coastal Counseling & Consulting LLC | Counselor | 1638 N Coast Hwy, Newport, OR 97365-2357 | 2020-07-20 |
1326656240 | Donald Marks | Counselor | 7901 Se Powell Blvd Ste B251, Portland, OR 97206-2314 | 2020-07-16 |
1831707058 | Toni Lynn Bellinger | Counselor | 14523 Westlake Dr # 2, Lake Oswego, OR 97035-7700 | 2020-07-14 |
1831717800 | Marty Alan Michelson | Counselor | 609 Ne Baker St Ste 208, Mcminnville, OR 97128-4946 | 2020-07-07 |
Find all providers with the same taxonomy |
City | THE DALLES |
Zip Code | 97058 |
Please comment or provide details below to improve the information on NICHOLE HENDRICKS.
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.