Active NPI
Kyoko Henson
- Mental Health Counselor
- Pittsburgh, PA
National Provider Identifier
1073988093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW124133
- Practice address
- 412 Guylyn Drive
Pittsburgh, PA 15235 - Phone
- (412) 798-8515
- NPI assigned
- Dec 2, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | SW124133 | PA | Primary |
Addresses
Primary practice location
412 Guylyn Drive
Pittsburgh, PA 15235
Mailing address
412 Guylyn Drive
Pittsburgh, PA 15235
Phone (412) 708-8515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221006001758 | PA | Practitioner - Clinical Social Worker | 9537545009 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW124133 | PA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1073988093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "412 GUYLYN DRIVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15235",
"telephone_number": "412-708-8515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "412 GUYLYN DRIVE",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "15235",
"telephone_number": "412-798-8515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "KYOKO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "PA",
"license": "SW124133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.