Branden Henry, PHD.M.A., LPC, LMFTA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1821 Issued in MS

Practice address

14 Professional Pkwy
Ridgeland, MS 39157-4190

Phone

(601) 780-7400

Fax

(877) 994-5569

NPI assigned

Nov 20, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Red River Counseling

  • Professional Counselor
  • Ridgeland, MS
  • NPI 1376029306
  NPD Authorized official

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1033549415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "837 LAKE COUNTY LN",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109544",
            "telephone_number": "501-270-9326",
            "fax_number": "877-994-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PROFESSIONAL PKWY",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574190",
            "telephone_number": "601-780-7400",
            "fax_number": "877-994-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "BRANDEN",
        "name_prefix": "Dr.",
        "credential": "PHD.M.A., LPC, LMFTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "T10467A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heitzmann Dentistry
• Casey Brian Heitzmann, DMD
• Emily Ann Heitzmann, D.M.D.
• Cornelius Henderson, DPT
• James Keeton Henderson, LPC
• Mark Angelo Henry Sr., LPTA
• John L Henson, DMD
• Stevan Kai Henson, PA-C
• Valencia Benton Henson, LPTA
• Rebekka S. Herman, SLP

• Professional Counselor in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.