Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Kathleen M Hendrickson, LPCC

Individual provider Professional Counselor · NPI 1891932851

Miss. Kathleen M Hendrickson, LPCC is a Mental Health Counselor in Moraine, Ohio. Qualified in 2004, 22 years ago. Practices with South Community Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
22
Licensed in
OH
In the registry since
2009
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence E.0008267-SUPV (OH)

Record details

NPI number1891932851
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedJanuary 13, 2009
Last updated in NPPESSeptember 17, 2021
Certification dateSeptember 17, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice South Community Inc. — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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