Active NPI
Christina Eileen Hencken, ATR
- Art Therapist
- Jacksonville, NC
National Provider Identifier
1144082991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Art Therapist
- License
- 22-591
- Practice address
- 326 H Street Camp Lejeune
Jacksonville, NC 28547-7451 - Phone
- (302) 559-8485
- NPI assigned
- Jan 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Art Therapist | 221700000X | 22-591 | FL | Primary |
Addresses
Primary practice location
326 H Street Camp Lejeune
Jacksonville, NC 28547-7451
Mailing address
11300 US Highway 19 N
Clearwater, FL 33764-7451
Phone (302) 559-8485
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-591 | FL | MD | Art Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1144082991",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11300 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337647451",
"telephone_number": "302-559-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "326 H STREET CAMP LEJEUNE",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285477451",
"telephone_number": "302-559-8485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENCKEN",
"first_name": "CHRISTINA",
"middle_name": "EILEEN",
"credential": "ATR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-26",
"last_updated": "2024-05-31",
"certification_date": "2024-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "221700000X",
"taxonomy_group": "",
"desc": "Art Therapist",
"state": "FL",
"license": "22-591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.