STACEY HENDRICKSON LCSW
NPI 1972473486
Counselor - Mental Health in Johnson City, TN

Q: What is Stacey Hendrickson's NPI number?

The NPI number for Stacey Hendrickson is 1972473486. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Q: What is Stacey Hendrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since November 10, 2025

817 W WALNUT ST STE 12, JOHNSON CITY, TN 37604(423) 218-9394 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Stacey Hendrickson Lcsw NPPES

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

STACEY HENDRICKSON LCSW (NPI 1972473486) is an individual mental health provider in Johnson City, Tennessee, licensed in Tennessee (9383) and active in the NPI registry since November 2025.

NPPES Registry Identity

NPI1972473486

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSTACEY HENDRICKSONCredential: LCSW

Location Address817 W WALNUT ST STE 12Johnson City, TN 37604-6144

Mailing Address918 Althea StJohnson City, TN 37601-2120 · (423) 218-9394

Phone(423) 218-9394

Sole ProprietorYes

Enumeration DateNovember 10, 2025

NPPES CertifiedNovember 10, 2025

✔ NPI 1972473486 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 TN · 9383

817 W WALNUT ST STE 12, Johnson City, TN 37604

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Stacey Hendrickson's NPI number?

The NPI number for Stacey Hendrickson is 1972473486. It was assigned to this individual provider in the NPPES registry on November 10, 2025.

Where is Stacey Hendrickson located?

Stacey Hendrickson practices at 817 W Walnut St Ste 12, Johnson City, TN 37604. The listed phone number is (423) 218-9394.

What is Stacey Hendrickson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Stacey Hendrickson was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.