BREANNA HENDRICKS
NPI 1710359153
Counselor - Mental Health in Johnston, IA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since October 26, 2015PECOS Enrolled

6165 NW 86TH ST, JOHNSTON, IA 50131(515) 329-4792 Get Directions Write a Review

NPPES record last updated: February 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Breanna Hendricks NPPES

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

BREANNA HENDRICKS (NPI 1710359153) is an individual mental health provider in Johnston, Iowa, licensed in Iowa (080127) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710359153

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameBREANNA HENDRICKS

Location Address6165 NW 86TH STJohnston, IA 50131-2240

Mailing Address430 Hartford AveDes Moines, IA 50315-1358 · (708) 203-2127

Phone(515) 329-4792

Sole ProprietorYes

Enumeration DateOctober 26, 2015

Last NPPES UpdateFebruary 24, 2026

NPPES CertifiedFebruary 24, 2026

✔ NPI 1710359153 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 IA · 080127

6165 NW 86TH ST, Johnston, IA 50131

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan 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 (PECOS)

Breanna Hendricks 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.