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CASEY HENDERSHOT LMHC
NPI 1134601412
Counselor - Mental Health in Jacksonville, FL

Active since September 03, 2018PECOS EnrolledAccepts Medicare Assignment
4633 SUNDERLAND RD, JACKSONVILLE, FL 32210(423) 943-6187 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2024, Sep 3, 2018 (2 updates tracked since 2018).

About Casey Hendershot Lmhc NPPES

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

CASEY HENDERSHOT LMHC (NPI 1134601412) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH12865) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1134601412
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCASEY HENDERSHOTCredential: LMHC
Location Address4633 SUNDERLAND RDJacksonville, FL 32210-4237
Mailing Address4633 Sunderland RdJacksonville, FL 32210-4237
Phone(423) 943-6187
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateSeptember 3, 2018
Last NPPES UpdateApril 19, 20242 updates tracked since enumeration
NPPES CertifiedApril 19, 2024
✔ NPI 1134601412 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 · MH12865
4633 SUNDERLAND RD, Jacksonville, FL 32210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Casey Hendershot Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254778335
PECOS Enrollment IDI20240325003129
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.

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 Casey Hendershot's NPI number?

The NPI number for Casey Hendershot is 1134601412. It was assigned to this individual provider in the NPPES registry on September 3, 2018.

Where is Casey Hendershot located?

Casey Hendershot practices at 4633 Sunderland Rd, Jacksonville, FL 32210. The listed phone number is (423) 943-6187.

What is Casey Hendershot's specialty?

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

Is Casey Hendershot enrolled in Medicare?

Yes. Casey Hendershot is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Casey Hendershot accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Casey Hendershot 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 Casey Hendershot was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.