Jennifer A. Henry, MS, MFT-I, CPC-I

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MI1171 Issued in NV

Practice address

570 W. Cheyenne Ave
Suite #10
Las Vegas, NV 89031

Phone

(702) 633-5096

Fax

(702) 633-7028

NPI assigned

Feb 16, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1225335854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4368 DUCK HARBOR AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890314201",
            "telephone_number": "702-525-7864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 W. CHEYENNE AVE",
            "address_2": "SUITE #10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89031",
            "telephone_number": "702-633-5096",
            "fax_number": "702-633-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "credential": "MS, MFT-I, CPC-I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NV",
            "license": "MI1171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101Y00000X",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Henry
• Glenna Henry
• Gwendolyn Orchid Henry, LMSW
• Helen Sue Henry, APRN
• Jeffrey Lee Henry
• Jerry Tard Henry, DPM
• Kandace Henry
• Kasharla Jessica Henry
• Keishaundra Henry
• Kenneth Henry

• Counselor in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.