Active NPI
Tania Henderson, MA, LPC, NCC
- Mental Health Counselor
- Wheat Ridge, CO
National Provider Identifier
1225194871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4115
- Practice address
- 4251 Kipling St Unit 150
Wheat Ridge, CO 80033-6834 - Phone
- (303) 915-5597
- NPI assigned
- Dec 28, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4115 | CO | Primary |
Addresses
Primary practice location
4251 Kipling St Unit 150
Wheat Ridge, CO 80033-6834
Mailing address
4251 Kipling St Unit 150
Wheat Ridge, CO 80033-6834
Phone (303) 915-5597
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 043832759 | Other | CO | TAX ID # |
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4115 | CO | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225194871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4251 KIPLING ST UNIT 150",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336834",
"telephone_number": "303-915-5597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4251 KIPLING ST UNIT 150",
"city": "WHEAT RIDGE",
"state": "CO",
"postal_code": "800336834",
"telephone_number": "303-915-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "TANIA",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "4115",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID #",
"identifier": "043832759",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wheat Ridge, CO
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.