TRINA HENDRICKSON (NPI# 1881240208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881240208 |
| Entity Type | Individual |
| Full Name | TRINA HENDRICKSON |
| Credential | MA, LPCC, LADC |
| Practice Address |
21000 Rogers Dr Ste 200 Rogers MN 55374-4926 |
| Practice Telephone | 7632915505 |
| Practice Fax Number | 7639512820 |
| Mailing Telephone | 7632915505 |
| Mailing Fax Number | 7639512820 |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2019-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CC02107 | MN | Behavioral Health & Social Service Providers |
| Street Address |
21000 ROGERS DR STE 200 |
| City | ROGERS |
| State | MN |
| Zip Code | 55374-4926 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558549832 | Fawn April Vogt | Counselor | 21000 Rogers Dr Ste 200, Rogers, MN 55374-4926 | 2008-02-08 |
| 1457969057 | Madeline Baker Johnson | Counselor | 21000 Rogers Dr Ste 200, Rogers, MN 55374-4926 | 2020-07-20 |
| 1316490063 | Paige Lehto | Marriage & Family Therapist | 21000 Rogers Dr Ste 200, Rogers, MN 55374-4926 | 2016-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609335835 | Rebecca Loehrer | Nurse Practitioner | 21370 Ste 210 John Milless Dr., Rogers, MN 55374 | 2019-03-18 |
| 1255722328 | Samantha Colai | Marriage & Family Therapist | 21307 John Milless Drive, Suite 106, Rogers, MN 55374 | 2015-02-11 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1295145886 | Marisa Kolasa | Massage Therapist | 22290 Oakdale Drive, Rogers, MN 55374 | 2014-05-05 |
| 1871878165 | Derek P Doty Dc Inc | Chiropractor | 21410 136th Ave N, Suite 105a, Rogers, MN 55374 | 2011-10-18 |
| 1912205865 | Michelle Cheryl Finnegan-larson | Registered Nurse | 21308 John Milless Drive, Rogers, MN 55374 | 2011-03-02 |
| 1639402571 | Ascend Family Institute | Community/Behavioral Health | 20980 Rogers Drive, #400, Rogers, MN 55374 | 2009-09-10 |
| 1275738403 | Nicole M Clements | Physician Assistant | 1355 Rogers Drive, Rogers, MN 55374 | 2007-06-18 |
| 1558566166 | Grand St Paul Cvs LLC | Durable Medical Equipment & Medical Supplies | 21455 John Milless Drive, Rogers, MN 55374 | 2007-06-15 |
| 1811062854 | Randall Alvin Hohbein | Pharmacist | 21351 John Milless Drive, Rogers Drug, Rogers, MN 55374 | 2006-11-22 |
| Find all providers in zip 55374 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275141202 | Leslie Meeker | Counselor | 10068 Buckskin Cir, Rogers, AR 72758-7575 | 2020-07-15 |
| 1245724251 | Sterling Yard, Inc. | Counselor | 1200 W Walnut St Ste B1100, Rogers, AR 72756-3562 | 2018-06-22 |
| 1972018760 | Jason Scott Wilson | Counselor | 1225 W Hudson Rd, Rogers, AR 72756-2330 | 2017-12-03 |
| 1437692720 | Ginah Brianne Porter | Counselor | 1108 Poplar Pl, Rogers, AR 72756 | 2016-11-18 |
| 1205382793 | Momentum Counseling, Pllc | Counselor | 593 S Horsebarn Rd Ste 102, Rogers, AR 72758-8797 | 2016-08-25 |
| 1710341417 | Anne E Rana | Counselor | 2105 S 54th St Ste 2, Rogers, AR 72758-8191 | 2016-04-08 |
| 1679955926 | Nwa Premier Counseling | Counselor | 5305 W Village Pkwy Ste 8, Rogers, AR 72758-8116 | 2015-06-23 |
| 1437559648 | Jamie Mosley | Counselor | 2100 Rogers Drive, Suite 200, Rogers, MN 55374 | 2014-08-26 |
| 1013268531 | Kerry Ann Underwood | Counselor | 409 W Poplar St, Rogers, AR 72756-4560 | 2012-09-24 |
| 1295081529 | Aaron Lee Matthews Sr. | Counselor | 411 W Poplar St., Rogers, AR 72756 | 2012-07-24 |
| Find all providers in ROGERS | ||||
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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.