Simone Henry, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37PC00771600 Issued in NJ

Practice address

110 Cohansey St
Bridgeton, NJ 08302-1922

Phone

(856) 497-6650

NPI assigned

Dec 7, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Tri-County Community Action Agency, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeton, NJ
  • NPI 1881360022
  NPD

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638835200000",
    "number": "1033877006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 KING DR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083024416",
            "telephone_number": "609-501-5418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 COHANSEY ST",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021922",
            "telephone_number": "856-497-6650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "SIMONE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00771600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shenry@gatewaycap.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "110 Cohansey St",
            "city": "Bridgeton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083021922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John E Hatzantonis, MD
• Jessica Hayes, LPC
• Health Access Network
• Gretchen Heller, RDH
• Sumer Hemple
• Ella L Heritage, LMT
• Mary A Herron
• Letizia S Hickox, RPH
• Raeshonna Hill, CNA
• Sharie G Hiller, CNM

• Counselor in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.