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SHANNON JANE HENDRICKSON PMHCNS,BC
NPI 1073649919
Counselor in Medford, MA

Active since February 26, 2007
151 MYSTIC AVE, MEDFORD, MA 02155(781) 396-1199(781) 396-1439 Get Directions Write a Review

NPPES record last updated: October 5, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Jane Hendrickson Pmhcns,bc NPPES

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

SHANNON JANE HENDRICKSON PMHCNS,BC (NPI 1073649919) is an individual counselor in Medford, Massachusetts, licensed in Massachusetts (110897) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1073649919
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSHANNON JANE HENDRICKSONCredential: PMHCNS,BC
Location Address151 MYSTIC AVEMedford, MA 02155-4632
Mailing Address151 Mystic AveMedford, MA 02155-4632 · (781) 396-1199 · Fax (781) 396-1439
Phone(781) 396-1199
Fax(781) 396-1439
Sole ProprietorYes
Enumeration DateFebruary 26, 2007
Last NPPES UpdateOctober 5, 2009
✔ NPI 1073649919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in MA · 110897
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
151 MYSTIC AVE, Medford, MA 02155
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Other Identifiers 2

Medicare UPINP19166MA
Medicare PINNS0425MA

Other Providers at the Same Location NPPES 20

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

MISS MELISSA WOOD M.A.
Counselor (Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155
Middlesex County (781) 396-1199
DAWNA K JENNE LMFT
Marriage & Family Therapist
151 MYSTIC AVE, SUITE 6
MEDFORD, MA 02155
Middlesex County (781) 396-1199
DAVID BANKS MHC
Counselor (Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155
Middlesex County (781) 396-1199
JULIE M WALSH LMHC
Counselor (Mental Health)
151 MYSTIC AVE, SUITE SIX
MEDFORD, MA 02155
Middlesex County (781) 396-1199
MR. HOWARD WARREN SHERMAN L.M.H.C
Counselor (Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155
Middlesex County (781) 396-1199
CHRISTOPHER KELLY RILEY MHC
Counselor (Mental Health)
151 MYSTIC AVE, SUITE SIX
MEDFORD, MA 02155
Middlesex County (781) 396-1199
JUDITH FLYNN M.ED
Counselor (Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155
Middlesex County (781) 396-1199
ARLENE M LYNCH RN/PC
Clinical Nurse Specialist (Psychiatric/Mental Health)
151 MYSTIC AVE
MEDFORD, MA 02155
Middlesex County (781) 396-1199

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 Shannon Hendrickson's NPI number?

The NPI number for Shannon Hendrickson is 1073649919. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Shannon Hendrickson located?

Shannon Hendrickson practices at 151 Mystic Ave, Medford, MA 02155. The listed phone number is (781) 396-1199.

What is Shannon Hendrickson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Shannon Hendrickson was last updated on October 5, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.