KEITH JACOB HENDRIX LPC NPI 1861662751

NPI Information

NPI: 1861662751
Provider Name: KEITH JACOB HENDRIX, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
45 NW GREELEY AVE
BEND, OR
ZIP 97703
Phone: (503) 616-1236
Get Directions

Keith Jacob Hendrix, LPC is a professional counselor in Bend, OR. Keith Jacob Hendrix, LPC NPI is 1861662751. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

45 NW GREELEY AVE
BEND, OR
ZIP 97703-943
Phone: (503) 616-1236
Fax: (855) 305-5252

The enumeration date for this NPI number is 3/6/2008 and was last updated on 11/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C1799	OREGON	No
2	101YP2500X	Counselor	Professional	C1799	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	123190	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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