Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELBY HENDRICKSON LCP
NPI 1194260786
Psychologist - Clinical in Wichita, KS

Q: What is Shelby Hendrickson's NPI number?

The NPI number for Shelby Hendrickson is 1194260786. It was assigned to this individual provider in the NPPES registry on January 5, 2017.

Q: What is Shelby Hendrickson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 05, 2017

6606 W CENTRAL AVE, WICHITA, KS 67212(316) 221-2661(316) 636-1190 Get Directions Write a Review

NPPES record last updated: September 28, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Sep 28, 2026, Jan 5, 2017 (2 updates tracked since 2017).

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About Shelby Hendrickson Lcp NPPES

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

SHELBY HENDRICKSON LCP (NPI 1194260786) is an individual clinical provider in Wichita, Kansas, licensed in Kansas (01504) and active in the NPI registry since January 2017.

NPPES Registry Identity

NPI1194260786

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameSHELBY HENDRICKSONCredential: LCP

Location Address6606 W CENTRAL AVEWichita, KS 67212-3315

Mailing Address6606 W Central AveWichita, KS 67212-3315 · (316) 221-2661 · Fax (316) 636-1190

Phone(316) 221-2661

Fax(316) 636-1190

Sole ProprietorNo

Enumeration DateJanuary 5, 2017

Last NPPES UpdateSeptember 28, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 28, 2026

✔ NPI 1194260786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in KS · 01504

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologistTaxonomy 103T00000X · License 2736 (KS), 2810 (KS)

6606 W CENTRAL AVE, Wichita, KS 67212

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc., Providence Health Plan, UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 6

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

LEATANYA KOPPA LPC

Counselor (Professional)