Individual provider Active NPI

Amberlee K. Henson, PSYD

  • Counseling Psychologist
  • Tavares, FL
National Provider Identifier
1073976742
Registry record updated Jul 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
PY9334 Issued in FL
Practice address
101 E Maud St
Tavares, FL 32778-3249
Phone
(352) 253-9348
Fax
(352) 253-9351
NPI assigned
Mar 31, 2016
Last updated
Jul 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X PY9334 FL Primary

Addresses

Primary practice location

101 E Maud St
Tavares, FL 32778-3249

Mailing address

101 E Maud St
Tavares, FL 32778-3249
Phone (352) 253-9348

Other names 1

  • Amberlee K. Henson Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PY9334FLMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuropsychology & Counseling Services PA CurrentSince Apr 18, 2016 Accepting new patients

Locations

101 E Maud St
Tavares, FL 32778
Phone (352) 253-9348

Organizations & group practices 1

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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1073976742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E MAUD ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783249",
            "telephone_number": "352-253-9348",
            "fax_number": "352-253-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E MAUD ST",
            "city": "TAVARES",
            "state": "FL",
            "postal_code": "327783249",
            "telephone_number": "352-253-9348",
            "fax_number": "352-253-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "AMBERLEE",
        "middle_name": "K.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "FL",
            "license": "PY9334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMBERLEE",
            "last_name": "HENSON",
            "middle_name": "K.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tavares, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.