MISS KATHLEEN M HENDRICKSON (NPI# 1891932851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891932851 |
| Entity Type | Individual |
| Full Name | MISS KATHLEEN M HENDRICKSON |
| Credential | PCC |
| Practice Address |
1321 Research Park Dr Beavercreek OH 45432-2851 |
| Mailing Address |
452 W Market St Xenia OH 45385-2815 |
| Practice Telephone | 9374273838 |
| Practice Fax Number | 9374274516 |
| Mailing Telephone | 9373768700 |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2010-07-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
E.0008267-SUPV | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770009854 | Kathleen Victoria Hendrickson | Counselor | 200 Plaza Dr Ste 200, Highlands Ranch, CO 80129-2348 | 2017-08-20 |
| Street Address |
1321 RESEARCH PARK DR |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45432-2851 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003816091 | Leanna Elaine Manuel | Psychologist | 1321 Research Park Dr, Suite 200, Beavercreek, OH 45432-2851 | 2005-07-31 |
| 1154630440 | Patricia Japs | Registered Nurse | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-10-04 |
| 1558670844 | Eric Schum | Social Worker | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-10-04 |
| 1841509148 | Barbara Mcgirr | Registered Nurse | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-10-04 |
| 1104130434 | Dawn Tharp | Counselor | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1134433451 | Jacqueline Cinelli | Social Worker | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1326352642 | Amy Ward | Counselor | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1326352667 | Clarissa Wentworth | Social Worker | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1073827390 | Lynn Oliver | Counselor | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2010-07-28 |
| 1518138031 | Integrated Youth Services, Inc. | Clinic/Center | 1321 Research Park Dr, Beavercreek, OH 45432-2851 | 2008-03-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538789284 | Shannon Davis Kaufman | Counselor | National Youth Advocate Program, 1020 Woodman Drive Suite 330, Dayton, OH 45432 | 2020-04-23 |
| 1215480504 | Heather Iaquinta | Registered Nurse | 1430 Linden Ave., Suite 390, Dayton, OH 45432 | 2016-08-03 |
| 1346586682 | Jeffrey Craig Miller | Dentist | 4450 Linden Ave., Dayton, OH 45432 | 2012-12-13 |
| 1194997718 | Paul G Tarlano Dds Inc | Dentist | 3621 Dayton-xenia Rd, Beaver Creek, OH 45432 | 2008-03-25 |
| 1306018981 | Paul Gerald Tarlano | Dentist | 3621 Dayton Xenia Rd, Beavercreek, OH 45432 | 2008-03-24 |
| 1104035377 | Andrew Brody | Occupational Therapy Assistant | 1974 North Fairfield Road, Beavercreek, OH 45432 | 2007-05-22 |
| 1952476111 | Jeffrey C Miller Dds Inc | Dentist | 4450 Linden Ave, Dayton, OH 45432 | 2006-11-22 |
| 1194898098 | Joseph Warren Shiveley | Dentist | 1555 Marsetta Drive, Dayton, OH 45432 | 2006-11-16 |
| 1710907597 | Integrated Youth Services Inc | Clinic/Center | 1321 Research Park Drive, Dayton, OH 45432 | 2006-07-21 |
| 1730106790 | Lorena L Kvalheim | Psychologist | 1020 Woodman Street, Suite 300, Dayton, OH 45432 | 2006-07-16 |
| Find all providers in zip 45432 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790161842 | Marjorie Wing Kavanaugh | Counselor | 2425 Mallard Ln., #3, Beavercreek, OH 45431-3678 | 2015-07-30 |
| 1932376977 | A New Direction for Counseling | Counselor | 1411 N Fairfield Rd Ste A, Beavercreek, OH 45432-2683 | 2008-05-09 |
| 1265639991 | Mark R Stobie | Counselor | 1324 Parkway Ct, Beavercreek, OH 45432-2601 | 2007-06-27 |
| 1790814937 | Nicole L Wagstrom | Counselor | 801 Space Drive, Beavercreek, OH 45434-7162 | 2007-03-05 |
| 1679633515 | Choices Changes Attitudes, LLC | Counselor | 801 Space Dr, Beavercreek, OH 45434-7162 | 2006-12-11 |
| 1376588301 | Jerry William Mccluer | Counselor | 1374 N Fairfield Rd, Suite B, Beavercreek, OH 45432-2676 | 2006-06-16 |
| 1437132974 | Miami Valley Counseling and Hypnosis Center | Counselor | 1255 N Fairfield Rd, Beavercreek, OH 45432-2668 | 2005-11-29 |
| 1659371292 | Patricia A Kaniuga | Counselor | 1411 N Fairfield Rd, Beavercreek, OH 45432-2658 | 2005-07-26 |
| 1043825102 | Brooke Schmidt | Counselor | 3171 Beaver Vu Dr Ste C, Beavercreek, OH 45434-6368 | 2020-09-14 |
| 1437781382 | Sheri Lynne Coffman | Counselor | 3183 Beaver Vu Dr Ste C, Beavercreek, OH 45434-6385 | 2020-02-09 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45432 |
Please comment or provide details below to improve the information on MISS KATHLEEN M HENDRICKSON.
| 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.