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MR. MICAH SHANE HENDRICKSON MA
NPI 1063887164
Counselor - Mental Health in Avon Park, FL

Active since December 01, 2015
2523 US HIGHWAY 27 S, STE 130, AVON PARK, FL 33825(863) 452-0710(863) 452-0142 Get Directions Write a Review

NPPES record last updated: December 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Micah Shane Hendrickson Ma NPPES

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

MR. MICAH SHANE HENDRICKSON MA (NPI 1063887164) is an individual mental health provider in Avon Park, Florida, licensed in Florida (MH13683) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1063887164
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. MICAH SHANE HENDRICKSONCredential: MA
Location Address2523 US HIGHWAY 27 S, STE 130Avon Park, FL 33825-7744
Mailing Address2523 Us Highway 27 S, Ste 130Avon Park, FL 33825-7744 · (863) 452-0710 · Fax (863) 452-0142
Phone(863) 452-0710
Fax(863) 452-0142
Sole ProprietorNo
Enumeration DateDecember 1, 2015
✔ NPI 1063887164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH13683
2523 US HIGHWAY 27 S, Avon Park, FL 33825
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Other Providers at the Same Location NPPES 5

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

MR. PHILLIP EDWARD VAN KLEECK MA
Counselor (Mental Health)
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825
Highlands County (863) 991-5209
DR. JOSE AUGUSTO RIVERA PH.D., M.A.
Counselor
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825
Highlands County (863) 452-0710
SAMUEL CLYDE GRAY MA, LMHC
Counselor (Mental Health)
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825
Highlands County (863) 452-0710
MR. RENE DEL SOL M.A., LMHC, BCPC
Counselor (Mental Health)
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825
Highlands County (863) 452-0710
THE PARADIGM GROUP CONSULTING INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
2523 US HIGHWAY 27 S, SUITE 130
AVON PARK, FL 33825
Highlands County (863) 991-5209

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 Micah Hendrickson's NPI number?

The NPI number for Micah Hendrickson is 1063887164. It was assigned to this individual provider in the NPPES registry on December 1, 2015.

Where is Micah Hendrickson located?

Micah Hendrickson practices at 2523 Us Highway 27 S Ste 130, Avon Park, FL 33825. The listed phone number is (863) 452-0710.

What is Micah Hendrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Micah Hendrickson was last updated on December 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.