MARK ALAN HENDRICKSON LPC
NPI 1023328093
Counselor - Professional in Springfield, MO

Active since October 08, 2010PECOS Enrolled
2415 W CATALPA ST, SPRINGFIELD, MO 65807(417) 893-7770 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2026, May 11, 2023, Jan 25, 2023 and 1 more (4 updates tracked since 2022).

About Mark Alan Hendrickson Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK ALAN HENDRICKSON LPC (NPI 1023328093) is an individual professional provider in Springfield, Missouri, licensed in Missouri (2022007015) and active in the NPI registry since October 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1023328093
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARK ALAN HENDRICKSONCredential: LPC
Location Address2415 W CATALPA STSpringfield, MO 65807-1123
Mailing Address2885 W Battlefield StSpringfield, MO 65807-3952 · (417) 761-5214
Sole ProprietorNo
Enumeration DateOctober 8, 2010
Last NPPES UpdateMarch 3, 20264 updates tracked since enumeration
NPPES CertifiedMarch 3, 2026
✔ NPI 1023328093 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MO · 2022007015
2415 W CATALPA ST, Springfield, MO 65807

Secondary Practice Location 1

Location 11322 S Campbell AveSpringfield, MO 65807-1445 · Phone (417) 761-7760

Other Identifiers 1

Medicaid496552001MO

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark Alan Hendrickson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mark Hendrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
1300 E BRADFORD PKWY
Springfield, MO 65804
  • Reassigned Medicare billing, Missouri enrollment
  • 590 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker
2415 W CATALPA ST
SPRINGFIELD, MO 65807
Social Worker (Clinical)
2415 W CATALPA ST
SPRINGFIELD, MO 65807
Substance Abuse Rehabilitation Facility
2415 W CATALPA ST
SPRINGFIELD, MO 65807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Hendrickson's NPI number?

The NPI number for Mark Hendrickson is 1023328093. It was assigned to this individual provider in the NPPES registry on October 8, 2010.

Where is Mark Hendrickson located?

Mark Hendrickson practices at 2415 W Catalpa St, Springfield, MO 65807. The listed phone number is (417) 893-7770.

What is Mark Hendrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mark Hendrickson enrolled in Medicare?

Yes. Mark Hendrickson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mark Hendrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Hendrickson reassigns Medicare benefits to Burrell, Inc. (Springfield, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Hendrickson accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Mark Hendrickson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Hendrickson was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.