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JORDAN M HENDRICKSON PSYD
NPI 1861162844
Community/Behavioral Health in Vancouver, WA

Active since September 20, 2021
4400 NE 77TH AVE STE 275, VANCOUVER, WA 98662(503) 709-3295 Get Directions Write a Review

NPPES record last updated: September 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan M Hendrickson Psyd NPPES

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

JORDAN M HENDRICKSON PSYD (NPI 1861162844) is a healthcare organization registered as a community/behavioral health in Vancouver, Washington and active in the NPI registry since September 2021. The organization lists Jordan M Hendrickson, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1861162844
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameJORDAN M HENDRICKSON 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
Organization SubpartNo
Authorized OfficialJordan M HendricksonPsychologist/owner · (503) 709-3295
Enumeration DateSeptember 20, 2021
NPPES CertifiedSeptember 20, 2021
✔ NPI 1861162844 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
4400 NE 77TH AVE STE 275, Vancouver, WA 98662
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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.

BLOOM PSYCHIATRIC, LLC
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (971) 813-9093
MS. MICHELLE A NEWTON LMHC, MA-MFT, CMHS
Counselor (Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 487-0856
ASPIRE BEHAVIORAL HEALTH COUNSELING SERVICES CO
Counselor (Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 487-0856
MRS. JOY PERRYMAN
Marriage & Family Therapist
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 903-8101
AQUA PSYCH PLLC
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (564) 225-2625
NADINE A SMITH NP
Nurse Practitioner (Psychiatric/Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 567-8466
KARLA JANETTE NOLTE LMT
Massage Therapist
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 768-4400
MR. BLAKE GREGORY FREY MA
Counselor (Mental Health)
4400 NE 77TH AVE STE 275
VANCOUVER, WA 98662
Clark County (360) 685-1597

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 Jordan M Hendrickson Psyd's NPI number?

The NPI number for Jordan M Hendrickson Psyd is 1861162844. It was assigned to this organization in the NPPES registry on September 20, 2021.

Where is Jordan M Hendrickson Psyd located?

Jordan M Hendrickson Psyd is located at 4400 NE 77th Ave Ste 275, Vancouver, WA 98662. The listed phone number is (503) 709-3295.

What is Jordan M Hendrickson Psyd's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Jordan M Hendrickson Psyd was last updated on September 20, 2021. 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.