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Katrina Hendricks

Marriage & Family Therapist

Behavioral Health & Social Service Providers

401 Bicentennial Way, Santa Rosa, CA 95403-2149

PECOS Enrollment

Based on the most recent information from CMS, provider Katrina Hendricks is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 1:08 PM.

Profile Details

Provider ID
1932538014
Provider Type
Individual
Full Name
Hendricks, Katrina
Credential
LMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
11/8/2013
Last Updated
12/12/2023

Contact Information

Practice Location

401 Bicentennial Way, Santa Rosa, CA 95403-2149

(707) 861-1166

Unlisted Fax

Mailing Location

401 Bicentennial Way, Santa Rosa, CA 95403-2149

(707) 861-1166

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 87931 California

Katrina Hendricks

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Fink, Pauline Elisabeth

Dunaway, Kaitlyn

Privette, Thea A.

Hernandez, Claudia Christina

Halliday, Cynthia

Leise, Jeri Lynn

Santos, Jennifer Anne

Slavonic, Chandra Diana

Harper, Reid Martin

Beccio, Brandon Marc