Active NPI
Alexandria Henderson, M.ED., LPC, NCC
- Professional Counselor
- Vestavia, AL
National Provider Identifier
1215703665
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC05253
- Practice address
- 2105 Devereux Cir
Vestavia, AL 35243-2563 - Phone
- (205) 319-9152
- NPI assigned
- Nov 28, 2023
- 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 | LPC05253 | AL | Primary |
Addresses
Primary practice location
2105 Devereux Cir
Vestavia, AL 35243-2563
Mailing address
3025 Piper Way
Hoover, AL 35244-3378
Phone (205) 568-0170
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC05253 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gardenia Grace Counseling, LLC | Current | Accepting new patients |
Locations
2105 Devereux Cir
Vestavia, AL 35243
Phone (205) 235-2029
2105 Devereux Cir
Ste 201
Vestavia, AL 35243
2534 Rocky Ridge Rd
Vestavia, AL 35243
Phone (205) 303-1798
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adolescent and Children Mental Health Clinic/Center
- Vestavia, AL
- NPI 1336992130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1215703665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3025 PIPER WAY",
"city": "HOOVER",
"state": "AL",
"postal_code": "352443378",
"telephone_number": "205-568-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2105 DEVEREUX CIR",
"city": "VESTAVIA",
"state": "AL",
"postal_code": "352432563",
"telephone_number": "205-319-9152"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "ALEXANDRIA",
"credential": "M.ED., LPC, NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-28",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AL",
"license": "LPC05253",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vestavia, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.