Active NPI
Anissa Henson, LPCA
- Professional Counselor
- Buckhorn, KY
National Provider Identifier
1154911717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 171891
- Practice address
- 116 Buckhorn Lane Buckhorn Children & Family Services
Buckhorn, KY 41721 - Phone
- (606) 398-7245
- NPI assigned
- Jan 19, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 171891 | KY | Primary |
Addresses
Primary practice location
116 Buckhorn Lane Buckhorn Children & Family Services
Buckhorn, KY 41721
Mailing address
P.O. Box 31
Lost Creek, KY 41348
Phone (859) 576-4146
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611014400000",
"number": "1154911717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 31",
"city": "LOST CREEK",
"state": "KY",
"postal_code": "41348",
"telephone_number": "859-576-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 BUCKHORN LANE BUCKHORN CHILDREN & FAMILY SERVICES",
"city": "BUCKHORN",
"state": "KY",
"postal_code": "41721",
"telephone_number": "606-398-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "ANISSA",
"credential": "LPCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-19",
"last_updated": "2021-01-19",
"certification_date": "2021-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "171891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buckhorn, KY
- Ziad Arabi, MD
- Sarah Barth, CSW
- Rebecca Ann Duff, LCSW
- Melissa Dawn Jordan
- Kentucky River District Health Department (Buckhorn Elementary School)
- Kentucky River District Health Department (Buckhorn High School)
- Mountain Comprehensive Health Corporation (Buckhorn School Based Clinic)
- Mountain Comprehensive Health Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.