Individual provider Active NPI

David Henning, MA, LPC

  • Professional Counselor
  • Colorado Springs, CO
National Provider Identifier
1063009652
Registry record updated Oct 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC.0018175 Issued in CO
Practice address
1283 Kelly Johnson Blvd FL 1
Colorado Springs, CO 80920-3925
Phone
(719) 452-4803
Fax
(719) 445-0268
NPI assigned
Dec 29, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC.0018175 CO Primary

Addresses

Primary practice location

1283 Kelly Johnson Blvd FL 1
Colorado Springs, CO 80920-3925

Mailing address

1283 Kelly Johnson Blvd FL 1
Colorado Springs, CO 80920-3925
Phone (719) 452-4803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20240119002712 CO Practitioner - Mental Health Counselor 3577912625 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC.0018175COMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mayfield Counseling Centers Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Mayfield Counseling Centers Mental Health PastSince Jan 1, 2021 Accepting new patients

Locations

1283 Kelly Johnson Blvd
Colorado Springs, CO 80920
Phone (719) 413-6776

12295 Oracle Blvd
Ste 200
Colorado Springs, CO 80921
Phone (719) 445-9926

1283 Kelly Johnson Blvd
Fl 1
Colorado Springs, CO 80920
Phone (719) 452-4803

6180 Lehman Dr
Ste 100
Colorado Springs, CO 80918
Phone (719) 357-6031

1283 Kelly Johnson Blvd
Ste 100
Colorado Springs, CO 80920
Phone (719) 452-4801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1063009652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1283 KELLY JOHNSON BLVD FL 1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203925",
            "telephone_number": "719-452-4803",
            "fax_number": "719-445-0268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1283 KELLY JOHNSON BLVD FL 1",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809203925",
            "telephone_number": "719-452-4803",
            "fax_number": "719-445-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "DAVID",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-29",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0018175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.