Active NPI
Dennis Leroy Henson, MFT
- Marriage & Family Therapist
- Las Vegas, NV
National Provider Identifier
1053968123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0271
- Practice address
- 7945 Blue Venice CT
Las Vegas, NV 89117-2515 - Phone
- (702) 378-1555
- NPI assigned
- Aug 22, 2019
- Last updated
- Jul 27, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 0271 | NV | Primary |
Addresses
Primary practice location
7945 Blue Venice CT
Las Vegas, NV 89117-2515
Mailing address
7945 Blue Venice CT
Las Vegas, NV 89117-2515
Phone (702) 378-1555
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 250005979 | Medicaid | NV |
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 |
|---|---|---|---|
| 0271 | NV | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595808000000",
"number": "1053968123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7945 BLUE VENICE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172515",
"telephone_number": "702-378-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7945 BLUE VENICE CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891172515",
"telephone_number": "702-378-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "DENNIS",
"middle_name": "LEROY",
"name_prefix": "Mr.",
"credential": "MFT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-22",
"last_updated": "2020-07-27",
"certification_date": "2020-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NV",
"license": "0271",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "250005979",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.