Ronald Henderson, LPCC-SUPV
Individual provider Active NPI Professional Counselor · Orient, OH
NPI 1053772467 · NPPES record last updated Jul 16, 2026
Key facts
- NPI
- 1053772467
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- E.0900632-SUPV (OH)
- Practice address
- 9085 Southern St
Orient, OH 43146-9360 - Phone
- (216) 468-5000
- NPI assigned
- Mar 11, 2016
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2001
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0900632-SUPV | OH | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | E.0900632-SUPV | OH | Yes |
Addresses
Primary practice location
9085 Southern St
Orient, OH 43146-9360
Mailing address
4800 N Scottsdale Rd Ste 2500
Scottsdale, AZ 85251-7630
Other practice location 1
765 Pierce Dr
Columbus, OH 43223-2425
Phone (614) 223-1650 ext. 328
Other providers in Orient, OH
- Darryl Lee Hankins
- Hayley Harris
- Kimberly Lynn Hawkes
- Windy Hawkins
- Georgia Glenn Hazzard
- Ashlyn Hickman
- Kelly Elisabeth Hickman
- Bonnie L Hodge
- Anissa Horvath
- Internal Medicine and Rehabilitation Consultants LLC
All providers in Orient, OH · Professional Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.