JORDAN MICHELLE HENDRICKSON PSYD
NPI 1437452018
Psychologist - Clinical in Vancouver, WA

Q: What is Jordan Hendrickson's NPI number?

The NPI number for Jordan Hendrickson is 1437452018. It was assigned to this individual provider in the NPPES registry on December 21, 2010. The provider is also known as Jordan Michelle Lutey.

Q: What is Jordan Hendrickson's specialty?

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

Active since December 21, 2010PECOS EnrolledAccepts Medicare Assignment

4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662(503) 709-3295 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jordan Michelle Hendrickson Psyd NPPES

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

JORDAN MICHELLE HENDRICKSON PSYD (NPI 1437452018) is an individual clinical provider in Vancouver, Washington, licensed in Oregon (2608) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1437452018

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJORDAN MICHELLE HENDRICKSONCredential: PSYD

Location Address4400 NE 77TH AVE STE 275Vancouver, WA 98662-6857

Mailing Address4400 Ne 77th Ave Ste 275Vancouver, WA 98662-6857 · (503) 709-3295

Phone(503) 709-3295

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateDecember 21, 2010

Last NPPES UpdateSeptember 28, 2021

NPPES CertifiedSeptember 28, 2021

✔ NPI 1437452018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in OR · 2608✔ Licensed in WA · PY60949986✔ Licensed in MT · PSYPSYLIC3612

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.

4400 NE 77TH AVE STE 275, Vancouver, WA 98662

Open in Google Maps ↗

Other Names 1

Former Name (1)Jordan Michelle Lutey

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans 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 and accepts Medicare assignment

Jordan Michelle Hendrickson Psyd 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 ID3870808207

PECOS Enrollment IDI20150831000661, I20230315001844

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 Jordan Hendrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sokyahealth Medical Group PC

12 mi

Mental Health

4800 S MACADAM AVE STE 230
Portland, OR 97239

Reassigned Medicare billing, Oregon and Washington enrollments
70 clinicians in this Medicare group

NPI 1447842232 (866) 657-6592

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98662 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$172.80 typical visit price

range $57.27 – $172.80

Typical copayment $43.20 (range $14.31 – $43.20)

Most-billed visit code 99205

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BLOOM PSYCHIATRIC, LLC

Nurse Practitioner (Psychiatric/Mental Health)