MS. SUSAN D HENDRICKSON (NPI# 1154506236) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154506236 |
| Entity Type | Individual |
| Full Name | MS. SUSAN D HENDRICKSON |
| Credential | LCSW |
| Practice Address |
4824 S Lemay Ave Fort Collins CO 80525-9402 |
| Mailing Address |
4860 Robb St Suite 201 Wheat Ridge CO 80033-2184 |
| Practice Telephone | 9704821574 |
| Mailing Telephone | 3032787418 |
| Mailing Fax Number | 8883415050 |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2013-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 954 | CO | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 40258726 | 05 | |
| CO | PROFESSIONAL LICENSE | CSW.00000954 | 01 |
| CO | CAQH | 1199591 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063591147 | Susan M Hendrickson | Psychologist | 8085 Wayzata Blvd Ste 216, Golden Valley, MN 55426-1459 | 2006-11-02 |
| 1902901366 | Susan Colleen Hendrickson | Pediatrics | 1000 Washington Ave, Bay City, MI 48707-9801 | 2006-09-13 |
| 1780644146 | Susan Ann Hendrickson | Nurse Practitioner | 787 37th St Ste 140, Vero Beach, FL 32960-7305 | 2006-03-28 |
| Street Address |
4824 S LEMAY AVE |
| City | FORT COLLINS |
| State | CO |
| Zip Code | 80525-9402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881743102 | Greenfield Management Services, Inc. | Skilled Nursing Facility | 4824 S Lemay Ave, Fort Collins, CO 80525-9402 | 2007-01-09 |
| 1881243186 | Alyssa Yee | Speech-Language Pathologist | 4824 S Lemay Ave, Fort Collins, CO 80525-9402 | 2019-09-09 |
| 1982171666 | Christy Peters | Nurse Practitioner | 4824 S Lemay Ave, Fort Collins, CO 80525-9402 | 2018-10-31 |
| 1093177636 | Katherine June Strand | Occupational Therapist | 4824 S Lemay Ave, Fort Collins, CO 80525-9402 | 2016-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356950299 | Kelly Westbrook Schmalstich | Clinical Nurse Specialist | 2020 Blue Yonder Way, Fort Collins, CO 80525 | 2020-07-27 |
| 1912522376 | Tender Gifts Midwifery and Birth Center | Clinical Nurse Specialist | 1817 Jessup Dr Farms, Fort Collins, CO 80525 | 2020-06-11 |
| 1114566015 | Andrea Nicole Brogdon | Acupuncturist | 2501 S. College Ave, Fort Collins, CO 80525 | 2019-12-26 |
| 1013553593 | Kids Overcoming, LLC | Home Health | 1330 Oakridge Drive Suite 105, Fort Collins, CO 80525 | 2019-11-20 |
| 1568019966 | Julia Heithoff | Behavioral Analyst | 1100 Haxton Dr #115, Fort Collins, CO 80525 | 2019-08-20 |
| 1144875246 | Harmony Smiles Dentistry, LLP | Dentist | 356 E Harmony Rd., #6-a, Fort Collins, CO 80525 | 2019-08-06 |
| 1841774502 | Shannon L Harris | Social Worker | 305 Carpenter Road, Fort Collins, CO 80525 | 2018-09-19 |
| 1306332101 | Joshua Evans Brooks | Optometrist | 375 E Horsetooth Rd Bldg 5 Ste 201, Fort Collins, CO 80525 | 2018-07-03 |
| 1285120212 | Danae Fuqua | Physical Medicine & Rehabilitation | Covell Care & Rehabilitation, 2350 Limon Dr., Fort Collins, CO 80525 | 2018-07-02 |
| 1528552890 | Megan E Locke | Audiologist | 724 Whalers Way Bdg I, Suite 101, Fort Collins, CO 80525 | 2018-06-19 |
| Find all providers in zip 80525 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386250009 | Even Flow Therapy LLC | Marriage & Family Therapist | 2409 Dalton Dr, Fort Collins, CO 80526-5353 | 2020-09-17 |
| 1770124679 | Melissa Rw George | Marriage & Family Therapist | 405 E Prospect Rd, Fort Collins, CO 80525-1058 | 2019-10-01 |
| 1558911669 | Shelly Annameier | Marriage & Family Therapist | 405 E Prospect Rd Ste 3, Fort Collins, CO 80525-1058 | 2019-09-19 |
| 1134685266 | Charlotte J Mckernan | Marriage & Family Therapist | 204 Walnut St Ste J, Fort Collins, CO 80524-4439 | 2019-02-13 |
| 1831667781 | Hannah Wurster | Marriage & Family Therapist | 149 W Oak St Ste 110, Fort Collins, CO 80524-7110 | 2018-11-08 |
| 1699243535 | Erandi Aguilar Herndon | Marriage & Family Therapist | 405 Mathews St Apt B, Fort Collins, CO 80524-7147 | 2018-11-08 |
| 1205322666 | The Family Center/la Familia | Marriage & Family Therapist | 309 Hickory St # 5, Fort Collins, CO 80524-1106 | 2018-07-09 |
| 1457843005 | Amy Lynn Ryk | Marriage & Family Therapist | 1531 Riverside Ave, Fort Collins, CO 80524-4387 | 2018-05-30 |
| 1699226969 | James O Compton | Marriage & Family Therapist | 6462 Tilden St, Fort Collins, CO 80528-7059 | 2016-10-20 |
| 1659720431 | Fred D Fuller | Marriage & Family Therapist | 3500 Jfk Pkwy Ste 210, Fort Collins, CO 80525-2635 | 2016-06-13 |
| Find all providers in FORT COLLINS | ||||
| City | FORT COLLINS |
| Zip Code | 80525 |
Please comment or provide details below to improve the information on MS. SUSAN D 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.