NICOLE HENDRICKSON (NPI# 1073064846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073064846 |
| Entity Type | Individual |
| Full Name | NICOLE HENDRICKSON |
| Credential | M.A. |
| Practice Address |
617 S Olive St Suite 708 Los Angeles CA 90014-1605 |
| Practice Telephone | 8453215657 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104423565 | Nicole Hendrickson | Counselor | 1059 Nw Madras Hwy, Prineville, OR 97754-1416 | 2020-10-07 |
| 1881242725 | Nicole Hendrickson | Nurse Practitioner | 431 W Liberty St, Wauconda, IL 60084-2452 | 2019-09-03 |
| Street Address |
617 S OLIVE ST SUITE 708 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90014-1605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558533646 | Leland Scott Frazier | Psychologist | 617 S Olive St, Suite 510, Los Angeles, CA 90014 | 2008-03-28 |
| 1497362073 | Anju Bagrodia | Counselor | 617 S Olive St, Los Angeles, CA 90014-1605 | 2020-09-28 |
| 1376996694 | Jessie Lynn Comstock | Marriage & Family Therapist | 617 S Olive St, Suite 708, Los Angeles, CA 90014-1605 | 2016-07-21 |
| 1275932295 | Gita Donovan | Psychologist | 617 S Olive St, Los Angeles, CA 90014-1605 | 2014-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992269757 | Los Angeles Christian Health Centers | Clinic/Center | 325 7th Street, Los Angeles, CA 90014 | 2019-01-25 |
| 1770947525 | Dr Jeremy Martinez Md A Professional Corporation | Clinic/Center | 631-a Maple Avenue, Los Angeles, CA 90014 | 2016-04-07 |
| 1578924536 | Jane Shomof | Marriage & Family Therapist | 724 S Spring St #1102, Elements Therapy, Los Angeles, CA 90014 | 2016-03-17 |
| 1588069769 | Los Angeles County Department of Mental Health | Clinic/Center | 631-c Maple Ave, Los Angeles, CA 90014 | 2014-10-29 |
| 1720499619 | County of Los Angeles | Clinic/Center | 242 East 6th Street, Los Angeles, CA 90014 | 2014-05-13 |
| 1235562703 | Savonn Tep | Counselor | 631 Maple Ave Ste C, Los Angeles, CA 90014 | 2013-08-19 |
| 1760759161 | Alice Winther | Psychologist | 617 S. Olive St., Suite 510, Los Angeles, CA 90014 | 2011-11-30 |
| 1265723068 | Shemetra Lachell James | Student in an Organized Health Care Education/Training Program | 617 S. Olive St. Suite #806, Los Angeles, CA 90014 | 2011-04-27 |
| 1285846287 | United Paratransit | Non-emergency Medical Transport (VAN) | 728 S Hill St, Ste 100, Los Angeles, CA 90014 | 2007-05-04 |
| 1558581389 | Los Angeles County Department of Mental Health | Clinic/Center | 631-b Maple Avenue, Los Angeles, CA 90014 | 2007-04-26 |
| Find all providers in zip 90014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90014 |
Please comment or provide details below to improve the information on NICOLE 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.