Active NPI
James Alan Henson, LCSW
- Clinical Social Worker
- Bend, OR
National Provider Identifier
1164547147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- OR00032
- Practice address
- 965 S W Emkay Drive
Bend, OR 97701-0550 - Phone
- (541) 389-7045
- Fax
- (541) 389-7045
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | OR00032 | Primary |
Addresses
Primary practice location
965 S W Emkay Drive
Bend, OR 97701-0550
Mailing address
PO Box 550
Bend, OR 97709-0550
Phone (541) 389-7045
Other names 1
- James A Henson
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164547147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 550",
"city": "BEND",
"state": "OR",
"postal_code": "977090550",
"telephone_number": "541-389-7045",
"fax_number": "541-389-7045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "965 S W EMKAY DRIVE",
"city": "BEND",
"state": "OR",
"postal_code": "977010550",
"telephone_number": "541-389-7045",
"fax_number": "541-389-7045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSON",
"first_name": "JAMES",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": "OR00032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMES",
"last_name": "HENSON",
"middle_name": "A",
"credential": "LCSW PC",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Bend, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.