Kathleen M. Hendrickson, LPCC
NPI 1891932851ActiveIndividual· Counselor, Professional· Moraine, OH
Counselor, Professional (LPCC) with South Community Inc., practicing in Moraine, Ohio. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1891932851 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | No |
| NPI issued | Jan 13, 2009 |
| Last updated in NPPES | Sep 17, 2021 |
| Certified by provider | Sep 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | E.0008267-SUPV | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 2004 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- South Community Inc.Moraine, OH · 20 clinicians
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