JILL C HENDRICKSON PH.D.
NPI 1083953798
Psychologist in East Liverpool, OH

Active since February 01, 2013PECOS Enrolled
416 JACKSON STREET, EAST LIVERPOOL, OH 43920(330) 386-7870(330) 382-9075 Get Directions Write a Review

NPPES record last updated: February 1, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jill C Hendrickson Ph.d. NPPES

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

JILL C HENDRICKSON PH.D. (NPI 1083953798) is an individual psychologist in East Liverpool, Ohio, licensed in Ohio (6683) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083953798
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJILL C HENDRICKSONCredential: PH.D.
Location Address416 JACKSON STREETEast Liverpool, OH 43920
Mailing Address416 Jackson StreetEast Liverpool, OH 43920 · (330) 386-7870 · Fax (330) 382-9075
Fax(330) 382-9075
Sole ProprietorYes
Enumeration DateFebruary 1, 2013
✔ NPI 1083953798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in OH · 6683
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
416 JACKSON STREET, East Liverpool, OH 43920

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)

Jill C Hendrickson Ph.d. 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 Jill Hendrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
16494 SAINT CLAIR AVE
East Liverpool, OH 43920
  • Reassigned Medicare billing, Ohio enrollment
  • 33 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.

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 Jill Hendrickson's NPI number?

The NPI number for Jill Hendrickson is 1083953798. It was assigned to this individual provider in the NPPES registry on February 1, 2013.

Where is Jill Hendrickson located?

Jill Hendrickson practices at 416 Jackson Street, East Liverpool, OH 43920. The listed phone number is (330) 386-7870.

What is Jill Hendrickson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jill Hendrickson enrolled in Medicare?

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

Which organization bills Medicare for Jill Hendrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Hendrickson reassigns Medicare benefits to Community Action Agency Of Columbiana County, Inc (East Liverpool, OH). 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 Jill Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Hendrickson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Jill 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 Jill Hendrickson was last updated on February 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.