Samuel Henning

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

109099 Issued in CA

Practice address

3300 Douglas Blvd Ste 240
Roseville, CA 95661-4287

Phone

(916) 694-2121

NPI assigned

May 22, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1073004396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 DOUGLAS BLVD STE 240",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 DOUGLAS BLVD STE 240",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614287",
            "telephone_number": "916-694-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNING",
        "first_name": "SAMUEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "109099",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "90170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ed Jerald Hendricks, M.D.
• Lynn Michele Hendrickson-Andres, MS, CCC-SLP
• Jay A Hendrickson, M.D.
• Artur Z. Henke, MD
• Betsy Hennessy, RD,CSR
• Megan Henriquez
• Henry Vong Prof Dental Corp
• Jill Nicole Henry, PHARM.D.
• Lindsay Erin Henry
• Marsha L. Henry, D.D.S.

• Marriage & Family Therapist in Roseville, CA
• Providers in Roseville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.