SHANNON JANE HENDRICKSON (PMHCNS,BC) – Counselor, NPI 1073649919

SHANNON JANE HENDRICKSON (PMHCNS,BC) is a healthcare provider. based in Medford, Massachusetts. specializing in Counselor. They hold the professional credentials PMHCNS,BC. They hold a License No. 110897 (MA). The NPI Number for SHANNON JANE HENDRICKSON (PMHCNS,BC) is 1073649919

Main info

Female
Sole Proprietor
Name
SHANNON JANE HENDRICKSON (PMHCNS,BC)
NPI
1073649919
Phone
(781) 396-1199
Address
151 MYSTIC AVE
Enumeration Date
26 February 2007
Last Update Date
5 October 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for SHANNON JANE HENDRICKSON (PMHCNS,BC)

  • 151 MYSTIC AVE

    MEDFORD, MA 021554632

    Phone: (781) 396-1199

    Fax: (781) 396-1439

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02155)

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Reviews

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Frequently asked questions

What NPI should I save for SHANNON JANE HENDRICKSON (PMHCNS,BC)?
Save NPI 1073649919 if you need a stable reference for SHANNON JANE HENDRICKSON (PMHCNS,BC).
Is SHANNON JANE HENDRICKSON (PMHCNS,BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SHANNON JANE HENDRICKSON (PMHCNS,BC)'s specialty in plain language?
Clinically, the directory lists SHANNON JANE HENDRICKSON (PMHCNS,BC) with Counselor. Clinical services aligned with this taxonomy classification.
What location shows for SHANNON JANE HENDRICKSON (PMHCNS,BC)?
We surface Medford, Massachusetts for SHANNON JANE HENDRICKSON (PMHCNS,BC) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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