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NICOLE HENDRICKSON CADC
NPI 1104423565
Counselor - Addiction (Substance Use Disorder) in Prineville, OR

Active since October 07, 2020
1059 NW MADRAS HWY, PRINEVILLE, OR 97754(541) 323-5330 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Hendrickson Cadc NPPES

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

NICOLE HENDRICKSON CADC (NPI 1104423565) is an individual addiction (substance use disorder) provider in Prineville, Oregon and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1104423565
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameNICOLE HENDRICKSONCredential: CADC
Location Address1059 NW MADRAS HWYPrineville, OR 97754-1416
Mailing AddressPo Box 1710Redmond, OR 97756-0516 · (541) 516-4087
Phone(541) 323-5330
Sole ProprietorNo
Enumeration DateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1104423565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
1059 NW MADRAS HWY, Prineville, OR 97754
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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.

MINDY LYNN CHRISTIANSEN
Counselor (Mental Health)
1059 NW MADRAS HWY
PRINEVILLE, OR 97754
Crook County (541) 323-5330
MARGARET ELIZABETH SZYMCZAK
Social Worker (Clinical)
1059 NW MADRAS HWY
PRINEVILLE, OR 97754
Crook County (541) 323-5330
TYLER ALLEN ADAMS
Peer Specialist
1059 NW MADRAS HWY
PRINEVILLE, OR 97754
Crook County (541) 903-2846
JON GRACE PSS-YS, QMHA-R
Counselor (Mental Health)
1059 NW MADRAS HWY
PRINEVILLE, OR 97754
Crook County (541) 323-5330
CHRISTIAN KS HOLDEN
Counselor (Mental Health)
1059 NW MADRAS HWY
PRINEVILLE, OR 97754
Crook County (541) 323-5330
RYAN BRADLEY VAUGHAN QMHA
Counselor (Mental Health)
1059 NW MADRAS HWY
PRINEVILLE, OR 97754
Crook County (541) 323-5330
JAIDRIA MORGAN MILES
Peer Specialist
1059 NW MADRAS HWY
PRINEVILLE, OR 97754
Crook County (458) 287-1653
MISS CASSANDRA STAR GONZALEZ B.S., B.A., QMHA
Counselor (Mental Health)
1059 NW MADRAS HWY
PRINEVILLE, OR 97754
Crook County (541) 323-5330

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 Nicole Hendrickson's NPI number?

The NPI number for Nicole Hendrickson is 1104423565. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Nicole Hendrickson located?

Nicole Hendrickson practices at 1059 NW Madras Hwy, Prineville, OR 97754. The listed phone number is (541) 323-5330.

What is Nicole Hendrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Nicole Hendrickson was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.