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LISA HENDRICKSON
NPI 1497204507
Counselor - Professional in Middletown, NY

Active since September 30, 2016
15 FORTUNE RD W, MIDDLETOWN, NY 10941(845) 692-4454 Get Directions Write a Review

NPPES record last updated: March 22, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Mar 22, 2017, Sep 30, 2016 (2 updates tracked since 2016).

About Lisa Hendrickson NPPES

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

LISA HENDRICKSON (NPI 1497204507) is an individual professional provider in Middletown, New York, licensed in New York (083094-1) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1497204507
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameLISA HENDRICKSON
Location Address15 FORTUNE RD WMiddletown, NY 10941-1625
Mailing Address15 Fortune Rd WScotchtown, NY 10941-1625
Phone(845) 692-4454
Sole ProprietorYes
Enumeration DateSeptember 30, 2016
Last NPPES UpdateMarch 22, 20172 updates tracked since enumeration
✔ NPI 1497204507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NY · 083094-1
15 FORTUNE RD W, Middletown, NY 10941
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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.

CHRISTINE MARGARET MACKAY RN
Registered Nurse (Psychiatric/Mental Health)
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (888) 750-2266
KELLY ZEPF LCSW
Social Worker
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (845) 692-4454
CHERYL PROVENCHER LPN
Licensed Practical Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (518) 477-0156
PATRICIA ANELLO RN
Registered Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (914) 456-4104
MS. PATRICIA MARIE MOORE LMSW, CASAC2
Counselor (Addiction (Substance Use Disorder))
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (888) 750-2266
MS. SANDRA MCCATHY
Counselor (Mental Health)
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (845) 750-2266
DAVID NEELAND GOODLIFE LPN
Licensed Practical Nurse
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (888) 750-2266
ANTHONY MEZZIO
Social Worker
15 FORTUNE RD W
MIDDLETOWN, NY 10941
Orange County (888) 750-2266

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 Lisa Hendrickson's NPI number?

The NPI number for Lisa Hendrickson is 1497204507. It was assigned to this individual provider in the NPPES registry on September 30, 2016.

Where is Lisa Hendrickson located?

Lisa Hendrickson practices at 15 Fortune Rd W, Middletown, NY 10941. The listed phone number is (845) 692-4454.

What is Lisa Hendrickson's specialty?

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

When was this NPI record last updated?

The NPPES record for Lisa Hendrickson was last updated on March 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.