IndividualActive
Shannon Hendrickson, PMHCNS,BC
NPI 1073649919 · Counselor · Medford, MA
Shannon Hendrickson, PMHCNS,BC is a Counselor provider in Medford, MA (NPI 1073649919).
Provider details
- NPI number
- 1073649919
- Entity type
- Individual
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Credential
- PMHCNS,BC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 110897 (MA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
151 Mystic Ave
Medford, MA 02155-4632
Phone: (781) 396-1199
Fax: (781) 396-1439
Street-level locationGet directions
Mailing address
151 Mystic Ave
Medford, MA 02155-4632
Registry dates
- Enumerated
- 2007-02-26
- Last updated
- 2009-10-05
Frequently asked questions
- What is Shannon Hendrickson's NPI number?
- Shannon Hendrickson's National Provider Identifier (NPI) is 1073649919, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Hendrickson's specialty?
- Shannon Hendrickson is listed in the NPPES registry with a primary specialty of Counselor (Behavioral Health & Social Service Providers).
- Where is Shannon Hendrickson located?
- Shannon Hendrickson's practice location on file with NPPES is 151 Mystic Ave, Medford, MA 02155-4632.
- What is Shannon Hendrickson's phone number?
- The practice phone number listed in the NPPES registry for Shannon Hendrickson is (781) 396-1199.
- Is Shannon Hendrickson's NPI active?
- Yes — Shannon Hendrickson's NPI (1073649919) is active in the NPPES registry as of the last update on 2009-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.