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MRS. MARY ANGELINE HENDRICKSON LMHC, LPC, EMMHS
NPI 1457663288
Counselor - Professional in Eugene, OR

Active since July 09, 2010PECOS Enrolled
399 E 10TH AVE, EUGENE, OR 97401(541) 858-2004(541) 868-2003 Get Directions Write a Review

NPPES record last updated: May 5, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 5, 2022, Jul 31, 2019 (2 updates tracked since 2019).

About Mrs. Mary Angeline Hendrickson Lmhc, Lpc, Emmhs NPPES

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

MRS. MARY ANGELINE HENDRICKSON LMHC, LPC, EMMHS (NPI 1457663288) is an individual professional provider in Eugene, Oregon, licensed in Oregon (C4034) and active in the NPI registry since July 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457663288
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. MARY ANGELINE HENDRICKSONCredential: LMHC, LPC, EMMHS
Location Address399 E 10TH AVEEugene, OR 97401-3380
Mailing Address399 E 10th AveEugene, OR 97401-3380 · (541) 858-2004 · Fax (541) 868-2003
Phone(541) 858-2004
Fax(541) 868-2003
Sole ProprietorNo
Enumeration DateJuly 9, 2010
Last NPPES UpdateMay 5, 20222 updates tracked since enumeration
NPPES CertifiedMay 5, 2022
✔ NPI 1457663288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C4034
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LH60376739 (WA)
399 E 10TH AVE, Eugene, OR 97401
Open in Google Maps ↗

Other Names 1

Former Name (1)Mrs. Mary Angeline Parker Lmhc Ncc Emmhs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc. 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 (PECOS)

Mrs. Mary Angeline Hendrickson Lmhc, Lpc, Emmhs 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 Mary Hendrickson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of Colorado, P.C.
0.2 mi
Clinical
101 E BROADWAY STE 400
Eugene, OR 97401
  • Reassigned Medicare billing, Oregon enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Colorado PC
  • 44 clinicians in this Medicare group
NPI 1316717747 (704) 506-6267

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

Other Providers at the Same Location NPPES 16

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

DR. LINDA SELENA MYERS DCC
Counselor (Professional)
399 E 10TH AVE
EUGENE, OR 97401
Lane County (541) 868-2004
JON WILLIAM TALEBREZA-MAY LCSW
Social Worker (Clinical)
399 E 10TH AVE
EUGENE, OR 97401
Lane County (541) 868-2004
DR. ANGIE REATHER CRONIN PSY.D.
Psychologist (Clinical)
399 E 10TH AVE
EUGENE, OR 97401
Lane County (541) 868-2004
MRS. NANCY JEAN KIMMEL LPC
Counselor (Professional)
399 E 10TH AVE
EUGENE, OR 97401
Lane County (541) 868-2004
SARA HUDNALL LPC
Counselor (Professional)
399 E 10TH AVE
EUGENE, OR 97401
Lane County (541) 868-2004
MS. MANDY ELENA ROLER HULL M.ED, LMFT
Marriage & Family Therapist
399 E 10TH AVE
EUGENE, OR 97401
Lane County (541) 868-2004
SARA MATTERI
Counselor
399 E 10TH AVE
EUGENE, OR 97401
Lane County (541) 868-2004
AMANDA ALLEN
Social Worker (Clinical)
399 E 10TH AVE
EUGENE, OR 97401
Lane County (252) 722-3559

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 Mary Hendrickson's NPI number?

The NPI number for Mary Hendrickson is 1457663288. It was assigned to this individual provider in the NPPES registry on July 9, 2010. The provider is also known as Mrs. Mary Angeline Parker Lmhc Ncc Emmhs.

Where is Mary Hendrickson located?

Mary Hendrickson practices at 399 E 10th Ave, Eugene, OR 97401. The listed phone number is (541) 858-2004.

What is Mary Hendrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mary Hendrickson enrolled in Medicare?

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

Which organization bills Medicare for Mary Hendrickson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Hendrickson reassigns Medicare benefits to Optum Behavioral Care Of Colorado, P.C. (Eugene, OR). 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 Mary Hendrickson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Hendrickson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan and 1 other insurer list Mary 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 Mary Hendrickson was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.