LISA HENDRICKSON
NPI 1497204507
Counselor - Professional in Middletown, NY
NPI Status: Active since September 30, 2016
Contact Information
15 FORTUNE RD W
MIDDLETOWN, NY
ZIP 10941
Phone: (845) 692-4454
- Individual
- Female
- Counselor
- Professional
- PECOS Enrolled
About LISA HENDRICKSON
This page provides the complete NPI Profile along with additional information for Lisa Hendrickson, a provider established in Middletown, New York with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1497204507 assigned on September 2016. The practitioner's primary taxonomy code is 101YP2500X with license number 083094-1 (NY). The provider is registered as an individual and her NPI record was last updated 8 years ago.
- NPI
- 1497204507
- Provider Name
- LISA HENDRICKSON
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 15 FORTUNE RD W MIDDLETOWN, NY 10941
- Location Phone
- (845) 692-4454
- Mailing Address
- 15 FORTUNE RD W SCOTCHTOWN, NY 10941
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 09-30-2016
- Last Update Date
- 03-22-2017
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 083094-1
- License State
- NY
Medicare Participation & PECOS Enrollment Status
Lisa Hendrickson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No
Reviews for LISA HENDRICKSON
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 9 | 7 | 2 | 0 | 4 | 5 | 0 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 18 | 7 | 4 | 0 | 8 | 5 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 8 + 7 + 4 + 0 + 8 + 5 + 0 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1497204507 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1831238328 | MUHAMMAD MALIK MD Individual | Psychiatry & Neurology (Psychiatry) | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1225178569 | MR. MUTHAIAH CHANDRASEKHARA MD Individual | Psychiatry & Neurology (Psychiatry) | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1255450177 | MR. ANDREW MILLS RN Individual | Registered Nurse | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1821253113 | MS. DANA NEWMAN Individual | Student in an Organized Health Care Education/Training Program | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1861631731 | MS. APRIL MILLER Individual | Student in an Organized Health Care Education/Training Program | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1821238619 | MS. KATARIINA HOAAS LCSW Individual | Social Worker (Clinical) | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1568657989 | ACCESS: SUPPORTS FOR LIVING INC Organization | Non-emergency Medical Transport (VAN) | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1124213277 | ACCESS: SUPPORTS FOR LIVING INC Organization | Case Management | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1215122361 | ACCESS: SUPPORTS FOR LIVING INC Organization | Community/Behavioral Health | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1285031252 | ACCESS: SUPPORTS FOR LIVING INC Organization | Case Management | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1861884397 | ALLAN THOMAS LCSW-R Individual | Social Worker (Clinical) | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1235671462 | MR. EZRA WALTERMAURER RN Individual | Registered Nurse | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 616-8881 |
| 1508344664 | MARYJENNIFER WILSONBERGLAS LPN Individual | Licensed Practical Nurse | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 421-6463 |
| 1194282871 | SADIA JAHANGIR Individual | Registered Nurse | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 673-7123 |
| 1972060614 | DONNA GRESSLER Individual | Registered Nurse | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 673-7123 |
| 1013475920 | CHRISTINE MARGARET MACKAY RN Individual | Registered Nurse (Psychiatric/Mental Health) | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (888) 750-2266 |
| 1104388347 | MRS. JO ANNE M HOULAHAN REGISTERED NURSE Individual | Registered Nurse | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1851853998 | MS. SHAKIA KELLY RN Individual | Registered Nurse | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1407411804 | MR. PETER CHRISTIAN SERRANO RN Individual | Registered Nurse | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 692-4454 |
| 1922286350 | HEIDI WENDEROTH MH COUNSELOR Individual | Counselor (Mental Health) | 15 FORTUNE RD W MIDDLETOWN, NY 10941 (845) 394-4777 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497204507, enumerated in the NPI registry as an "individual" on September 30, 2016
The provider is located at 15 Fortune Rd W Middletown, Ny 10941 and the phone number is (845) 692-4454
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Durable Medical Equipment (DME).
This NPI record was last updated on September 30, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.