Individual provider Active NPI

Alan Justin Henslee, BHRS

  • Mental Health Counselor
  • Antlers, OK
National Provider Identifier
1083960470
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
311 SW 4TH St
Antlers, OK 74523-3619
Phone
(580) 271-0412
NPI assigned
Aug 3, 2012
Last updated
Aug 3, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X OK Primary

Addresses

Primary practice location

311 SW 4TH St
Antlers, OK 74523-3619

Mailing address

311 SW 4TH St
Antlers, OK 74523-3619
Phone (580) 271-0412

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

NPI Registry JSON

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

{
    "created_epoch": "1343952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343952000000",
    "number": "1083960470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SW 4TH ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745233619",
            "telephone_number": "580-271-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 SW 4TH ST",
            "city": "ANTLERS",
            "state": "OK",
            "postal_code": "745233619",
            "telephone_number": "580-271-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSLEE",
        "first_name": "ALAN",
        "middle_name": "JUSTIN",
        "name_prefix": "Mr.",
        "credential": "BHRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-03",
        "last_updated": "2012-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Antlers, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2012; 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.