Individual provider Active NPI

Jenny Beatriz Henson, MS, LPC, LCDC

  • Professional Counselor
  • Corsicana, TX
National Provider Identifier
1023769411
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
84155 Issued in TX
Practice address
715 W 2ND Ave
Corsicana, TX 75110-3012
Phone
(903) 872-4443
Fax
(903) 872-2125
NPI assigned
Jan 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Professional Counselor 101YP2500X 84155 TX Primary

Addresses

Primary practice location

715 W 2ND Ave
Corsicana, TX 75110-3012

Mailing address

1991 NW County Road 0020
Corsicana, TX 75110-2179
Phone (903) 654-9147

Other practice location 1

8915 Harry Hines Blvd
Dallas, TX 75235-1717
Phone (903) 654-9147

Other practice location 2

1991 NW County Road 0020
Corsicana, TX 75110-2179
Phone (903) 654-9147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231229003016 TX Practitioner - Mental Health Counselor 0749630937 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Cayt'S Place, Inc CurrentSince Mar 11, 2025 Accepting new patients
Philip R. Taft Psy.D. PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Family and Child Guidance Centers Professional Past Accepting new patients

Locations

715 W 2nd Ave
Corsicana, TX 75110
Phone (903) 872-4442

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1023769411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1991 NW COUNTY ROAD 0020",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751102179",
            "telephone_number": "903-654-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W 2ND AVE",
            "city": "CORSICANA",
            "state": "TX",
            "postal_code": "751103012",
            "telephone_number": "903-872-4443",
            "fax_number": "903-872-2125"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8915 Harry Hines Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752351717",
            "country_code": "US",
            "telephone_number": "903-654-9147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1991 NW County Road 0020",
            "address_purpose": "LOCATION",
            "city": "Corsicana",
            "state": "TX",
            "postal_code": "751102179",
            "country_code": "US",
            "telephone_number": "903-654-9147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "JENNY",
        "middle_name": "BEATRIZ",
        "credential": "MS, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "84155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corsicana, TX

Sources for this page

Verify at the official NPI Registry.