Individual provider Active NPI

Lisha Dawn Henson, LPC

  • Mental Health Counselor
  • Atoka, OK
National Provider Identifier
1053516260
Registry record updated Jun 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
301 E Court St
Atoka, OK 74525-2047
Phone
(580) 889-2400
Fax
(580) 889-2401
NPI assigned
Jun 18, 2007
Last updated
Jun 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

301 E Court St
Atoka, OK 74525-2047

Mailing address

187 W. Ruth Ave.
Atoka, OK 74525
Phone (918) 916-1263

Other names 1

  • Mrs. Lisha Dawn Oxley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20240206002225 OK Practitioner - Mental Health Counselor 1355790643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homecare Advisors LLCGroup PAC ID 3173877362, 33 clinicians

Practice addresses (Care Compare)

2701 W University Blvd
Durant, OK 74701-2997
Phone (580) 740-4053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3888OKMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Homecare Advisors LLC CurrentSince Jan 1, 2024 Accepting new patients
Community Care of Oklahoma Mental Health Services Past Accepting new patients

Locations

2701 W University Blvd
Durant, OK 74701
Phone (580) 740-4053

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655164800000",
    "number": "1053516260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 W. RUTH AVE.",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "74525",
            "telephone_number": "918-916-1263",
            "fax_number": "580-889-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E COURT ST",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745252047",
            "telephone_number": "580-889-2400",
            "fax_number": "580-889-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "LISHA",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-18",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISHA",
            "last_name": "OXLEY",
            "middle_name": "DAWN",
            "prefix": "MRS.",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Atoka, OK

Sources for this page

Verify at the official NPI Registry.