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KELLY RAE HENDRICKS
NPI 1932858263
Peer Specialist in Wautoma, WI

Active since March 23, 2022
230 PARK ST, WAUTOMA, WI 54982(920) 787-6550 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Rae Hendricks NPPES

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

KELLY RAE HENDRICKS (NPI 1932858263) is an individual peer specialist in Wautoma, Wisconsin and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1932858263
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKELLY RAE HENDRICKS
Location Address230 PARK STWautoma, WI 54982-9031
Mailing AddressPo Box 1230Wautoma, WI 54982-1230
Phone(920) 787-6550
Sole ProprietorNo
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1932858263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
230 PARK ST, Wautoma, WI 54982
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Other Providers at the Same Location NPPES 11

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

ANDREA LEE BEHNKE APSW, SAC-IT
Social Worker
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
MR. PAUL FRANCIS THEYEL CICSW
Counselor (Mental Health)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
JEREMY VERN WOODLIFF LPC
Counselor (Professional)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
BRIANNA J KULIBERT LPC
Counselor (Professional)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
DR. BARON PERLMAN PH D
Psychologist (Cognitive & Behavioral)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
PATTI A WOHLFEIL RN
Registered Nurse (Community Health)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6590
KATRINA L DOROW STEVENS MA
Counselor (Professional)
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550
RENEE L SOROKO MS, LPC
Social Worker
230 PARK ST
WAUTOMA, WI 54982
Waushara County (920) 787-6550

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 Kelly Hendricks's NPI number?

The NPI number for Kelly Hendricks is 1932858263. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Kelly Hendricks located?

Kelly Hendricks practices at 230 Park St, Wautoma, WI 54982. The listed phone number is (920) 787-6550.

What is Kelly Hendricks's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Kelly Hendricks was last updated on March 23, 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.