MR. KOREY SOLOMON HENDRICKS MA, LPCC
NPI 1053486555
Counselor - Professional in San Diego, CA

Active since November 21, 2006
4656 30TH ST, SAN DIEGO, CA 92116(619) 677-3046 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Korey Solomon Hendricks Ma, Lpcc NPPES

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

MR. KOREY SOLOMON HENDRICKS MA, LPCC (NPI 1053486555) is an individual professional provider in San Diego, California, licensed in California (LPC 395) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1053486555
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KOREY SOLOMON HENDRICKSCredential: MA, LPCC
Location Address4656 30TH STSan Diego, CA 92116-3247
Mailing Address6048 Carol StSan Diego, CA 92115-5426 · (619) 850-5542
Sole ProprietorYes
Enumeration DateNovember 21, 2006
Last NPPES UpdateNovember 22, 2013
NPI 1053486555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · LPC 395
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC 395 (CA)
4656 30TH ST, San Diego, CA 92116

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
4656 30TH ST
SAN DIEGO, CA 92116
Psychologist (Clinical)
4656 30TH ST
SAN DIEGO, CA 92116

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 Korey Hendricks's NPI number?

The NPI number for Korey Hendricks is 1053486555. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Korey Hendricks located?

Korey Hendricks practices at 4656 30th St, San Diego, CA 92116. The listed phone number is (619) 677-3046.

What is Korey Hendricks's specialty?

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

When was this NPI record last updated?

The NPPES record for Korey Hendricks was last updated on November 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.