MR. FREDDIE HENDRESON LPC
NPI 1073805677
Counselor - Mental Health in Tulsa, OK

Q: What is Freddie Hendreson's NPI number?

The NPI number for Freddie Hendreson is 1073805677. It was assigned to this individual provider in the NPPES registry on May 14, 2011.

Q: What is Freddie Hendreson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Freddie Hendreson was last updated on May 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 14, 2011PECOS Enrolled

2224 N OWASSO AVE, TULSA, OK 74106(918) 587-0180 Get Directions Write a Review

NPPES record last updated: May 14, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Mr. Freddie Hendreson Lpc NPPES

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

MR. FREDDIE HENDRESON LPC (NPI 1073805677) is an individual mental health provider in Tulsa, Oklahoma, licensed in Oklahoma (4420) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073805677

Entity TypeIndividualMale

Primary Taxonomy101YM0800X

Provider Legal NameMR. FREDDIE HENDRESONCredential: LPC

Location Address2224 N OWASSO AVETulsa, OK 74106-3921

Mailing Address2224 N Owasso AveTulsa, OK 74106-3921 · (918) 587-0180

Phone(918) 587-0180

Sole ProprietorYes

Enumeration DateMay 14, 2011

✔ NPI 1073805677 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 OK · 4420

2224 N OWASSO AVE, Tulsa, OK 74106

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Freddie Hendreson 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 Freddie Hendreson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sydlyfe Counseling Services, LLC

0.3 mi

Community/Behavioral Health

3606 N MLK BLV JR.
Tulsa, OK 74106

Reassigned Medicare billing, Oklahoma enrollment
14 clinicians in this Medicare group

NPI 1154669828 (918) 231-0684

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

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 Freddie Hendreson's NPI number?

The NPI number for Freddie Hendreson is 1073805677. It was assigned to this individual provider in the NPPES registry on May 14, 2011.

Where is Freddie Hendreson located?

Freddie Hendreson practices at 2224 N Owasso Ave, Tulsa, OK 74106. The listed phone number is (918) 587-0180.

What is Freddie Hendreson's specialty?

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

Is Freddie Hendreson enrolled in Medicare?

Yes. Freddie Hendreson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Freddie Hendreson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Freddie Hendreson reassigns Medicare benefits to Sydlyfe Counseling Services, LLC (Tulsa, OK). 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 Freddie Hendreson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Freddie Hendreson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Freddie Hendreson 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 Freddie Hendreson was last updated on May 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.