EXCLUDEDPROVIDER
Individual Revocation

Amanda Liesta Hendrickson

Yreka, CA 96097

Public HHS-OIG LEIE exclusion record

Amanda Liesta Hendrickson of Yreka, CA is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1851742001 with a primary specialty of Counselor, Addiction (Substance Use Disorder). According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Amanda Liesta Hendrickson is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of January 20, 2026.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Yreka, CA 96097
Exclusion date
January 20, 2026
Exclusion type
Revocation (1128b4)
NPI
1851742001

Record summary

Amanda Liesta Hendrickson appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Yreka, California. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is January 20, 2026, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJanuary 20, 2026
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1851742001
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Yreka, CA 96097. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Counselor.

NPI Registry context

The LEIE record lists NPI 1851742001. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Counselor, Addiction (Substance Use Disorder) (101YA0400X). Registered practice location: Murray, UT. NPI enumeration date: Jun 29, 2016. NPPES status: Active. The NPI Registry lists credential: CADC-I, SUDC.

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Yreka, CA

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Yreka, CA address.

Sangout Out Individual Felony Fraud
Yreka, CA · Felony conviction relating to health care fraud · Excluded Oct 2022
Christina Pauline Giertz Individual Revocation
Yreka, CA · License revocation, suspension, or surrender · Excluded May 2014
Jeffrey Michael Hamlin Individual Revocation
Yreka, CA · License revocation, suspension, or surrender · Excluded Jul 2011
Dania M Landis Individual Revocation
Yreka, CA · License revocation, suspension, or surrender · Excluded Oct 2010
Garold A Lucas Individual Patient Abuse
Yreka, CA · Conviction relating to patient abuse or neglect · Excluded Dec 2004
Teressa A King Individual Revocation
Yreka, CA · License revocation, suspension, or surrender · Excluded Aug 2003

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

Verify with HHS-OIG Remove / correct this record

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