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: July 19, 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
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

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.

Counselor (Mental Health)
230 PARK ST
WAUTOMA, WI 54982
Psychologist (Cognitive & Behavioral)
230 PARK ST
WAUTOMA, WI 54982
Registered Nurse (Community Health)
230 PARK ST
WAUTOMA, WI 54982
Social Worker
230 PARK ST
WAUTOMA, WI 54982
Psychologist
230 PARK ST
WAUTOMA, WI 54982
Counselor (Professional)
230 PARK ST
WAUTOMA, WI 54982
Social Worker
230 PARK ST
WAUTOMA, WI 54982
Counselor (Professional)
230 PARK ST
WAUTOMA, WI 54982

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 with the weekly NPPES data releases published by CMS.