Active NPI
Josh Henderson
- Professional Counselor
- Fort Oglethorpe, GA
National Provider Identifier
1043458979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC002190
- Practice address
- 700 City Hall Dr
Fort Oglethorpe, GA 30742-7802 - Phone
- (423) 364-3460
- Fax
- (706) 638-5541
- NPI assigned
- Jan 30, 2009
- Last updated
- Jan 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC002190 | GA | Primary |
Addresses
Primary practice location
700 City Hall Dr
Fort Oglethorpe, GA 30742-7802
Mailing address
700 City Hall Dr
Fort Oglethorpe, GA 30742-7802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC002190 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lookout Mountain Community Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Fort Oglethorpe, GA
- NPI 1568599090
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233273600000",
"number": "1043458979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 CITY HALL DR",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307427802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 CITY HALL DR",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307427802",
"telephone_number": "423-364-3460",
"fax_number": "706-638-5541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JOSH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-30",
"last_updated": "2009-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC002190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Oglethorpe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.