G. Henderson Counseling & Consulting Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

G. HENDERSON COUNSELING & CONSULTING SERVICES, PLLC

Practice address

162 Leadoff Dr
Myrtle Beach, SC 29588-5565

Phone

(252) 503-3572

NPI assigned

Jan 6, 2020

Last updated

Nov 27, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Geneva A Henderson, LPCNPI 1932327038

Title

Owner

Phone

(252) 503-3572

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geneva Antionette Henderson, LPC

  • Professional Counselor
  • Charlotte, NC
  • NPI 1932327038
  NPD (past) Authorized official

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1194364281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 CAPROCK CT",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282135260",
            "telephone_number": "252-503-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 LEADOFF DR",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295885565",
            "telephone_number": "252-503-3572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. HENDERSON COUNSELING & CONSULTING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "GENEVA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-503-3572",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPC",
            "identifier": "9706",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William A Funderburk Jr., DMD
• Cynthia Marie Funston
• Juliemar Bonilla Furr, FNP
• Elizabeth Whittier Fusaro, OTR/L
• Fyrebird Recovery
• Cristina Gabriel, ANP-BC
• Sheena Blake Gaddis, MSW, LCSW, LISW-CP
• Mina Gaid
• Spencer Charles Gaither
• Dhruv Nitin Gaitonde

• Mental Health Counselor in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.