Individual provider Active NPI

Jennifer Donn Henry, LPC

  • Mental Health Counselor
  • Monett, MO
National Provider Identifier
1104430610
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2020027805 Issued in MO
Practice address
1701 N Central Ave
Monett, MO 65708-1144
Phone
(417) 476-1000
NPI assigned
Sep 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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 2020027805 MO Primary

Addresses

Primary practice location

1701 N Central Ave
Monett, MO 65708-1144

Mailing address

PO Box 100
Pierce City, MO 65723-2100
Phone (417) 476-1013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231201001431 MO Practitioner - Mental Health Counselor 4183072184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clark Community Mental Health CenterGroup PAC ID 8527069277, 25 clinicians

Practice addresses (Care Compare)

1701 Townsend St
Cassville, MO 65625-1451
Phone (417) 671-8075

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2020027805MOMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ozark Tri-County Health Care Consortium CurrentSince Feb 1, 2024 Accepting new patients
Clark Community Mental Health Center Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Ozark Tri-County Health Care Consortium CurrentSince Feb 1, 2024 Accepting new patients
Ozark Tri-County Health Care Consortium Current Accepting new patients

Locations

927 N Highway 71
Anderson, MO 64831
Phone (417) 845-2273

1810 S Carnation Dr
Aurora, MO 65605
Phone (417) 678-1260

1701 Townsend St
Cassville, MO 65625
Phone (417) 671-8075

530 S Maiden Ln
Joplin, MO 64801
Phone (417) 223-4385

1701 N Central Ave
Monett, MO 65708
Phone (417) 235-6610

104 W Main St
Pierce City, MO 65723
Phone (417) 235-6610

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1104430610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100",
            "city": "PIERCE CITY",
            "state": "MO",
            "postal_code": "657232100",
            "telephone_number": "417-476-1013",
            "fax_number": "417-476-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N CENTRAL AVE",
            "city": "MONETT",
            "state": "MO",
            "postal_code": "657081144",
            "telephone_number": "417-476-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JENNIFER",
        "middle_name": "DONN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020027805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monett, MO

Sources for this page

Verify at the official NPI Registry.