Michelle K. Hennessy

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

103 Commercial St Ste 2
Brockton, MA 02302-3133

Phone

(508) 580-4691

NPI assigned

Apr 17, 2018

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1104313949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 MIDDLESEX CIR APT 12",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024526243",
            "telephone_number": "650-678-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COMMERCIAL ST STE 2",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023023133",
            "telephone_number": "508-580-4691"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Middlesex Cir Apt 12",
            "address_purpose": "LOCATION",
            "city": "Waltham",
            "state": "MA",
            "postal_code": "024526243",
            "country_code": "US",
            "telephone_number": "650-678-5376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Fordham Rd",
            "address_purpose": "LOCATION",
            "city": "Allston",
            "state": "MA",
            "postal_code": "021343000",
            "country_code": "US",
            "telephone_number": "617-782-6460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNESSY",
        "first_name": "MICHELLE",
        "middle_name": "K.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle P Henderson
• Katherine P. Hendra, M.D.
• Nwannedima Hendricks, MA
• Bernard H Hendriksen, PA
• Helen Keil Heneveld, OTR
• Olivia Henriques
• Willie Alton Henry Sr.
• Ashley Herbert
• Nathalie Margareth Herisse
• Dawn E Herman, APRN

• Counselor in Brockton, MA
• Providers in Brockton, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; 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.