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Active NPI 1215804794 Individual Practitioner Male Practitioner

Mark Edward Hendrickson , MPSS-GBYQNS

Peer Specialist • Lancaster, CA

Professional Overview & Biography Verified Profile Summary

Mark Hendrickson, MPSS-GBYQNS is a registered healthcare professional specializing in Peer Specialist in Lancaster, CA. Practice services are available at 44505 90TH ST W BLDG B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

44505 90th St W Bldg B

Lancaster, CA 935367705

Telephone 6617262630
Associated Practice Facility / Clinic
🏢 Tarzana Treatment Center Facility NPI 1225153877

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
90 Specialists

Practicing in Lancaster, CA (4567 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-10-20
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License CA MPSS-GBYQNS

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Angel Richard

Social Worker - Clinical

NPI 1003561077
April Salgado , MPSS

Peer Specialist

NPI 1003778192
Charles Flores

Counselor - Addiction (Substance Use Disorder)

NPI 1013032929
Josue Gutierrez

Peer Specialist

NPI 1013697275
Nancy Davis , BA

Counselor - Mental Health

NPI 1023327004

Bachelor of Arts

Lori Shafer

Counselor - Addiction (Substance Use Disorder)

NPI 1023437985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 20, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location October 20, 2025

Registered at 44505 90TH ST W BLDG B, LANCASTER, CA 935367705 (Tel: 6617262630)

📍
Updated Business Mailing Address October 20, 2025

Registered at 44505 90TH ST W BLDG B, LANCASTER, CA 935367705 (Tel: 6617262630)

👤
Provider Name / Credentials Updated October 20, 2025

Recorded as MARK HENDRICKSON, MPSS-GBYQNS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 20, 2025

Peer Specialist (License #MPSS-GBYQNS in CA)

🟢
Initial NPI Registration & Enumeration October 20, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215804794
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 20, 2025
Last Update: October 20, 2025
Sole Proprietor: No

Mailing Address

44505 90th St W Bldg B

Lancaster, CA 935367705

Phone: 6617262630

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.