Active NPI
Baneca Henson, LPC
- Professional Counselor
- Grand Prairie, TX
National Provider Identifier
1164055281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 70307
- Practice address
- 4171 Rhapsody St Apt 5311
Grand Prairie, TX 75052-0236 - Phone
- (214) 498-2380
- NPI assigned
- Feb 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 | 70307 | TX | Primary |
Addresses
Primary practice location
4171 Rhapsody St Apt 5311
Grand Prairie, TX 75052-0236
Mailing address
PO Box 180291
Arlington, TX 76096-0291
Phone (214) 498-2380
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 |
|---|---|---|---|
| 70307 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1164055281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 180291",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760960291",
"telephone_number": "214-498-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4171 RHAPSODY ST APT 5311",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750520236",
"telephone_number": "214-498-2380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "BANECA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-17",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "70307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grand Prairie, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.