Active NPI
Julian Henderson
- Pharmacist
- Spring, TX
National Provider Identifier
1225567696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 59097
- Practice address
- 17833 Kuykendahl Rd
Spring, TX 77379-8112 - Phone
- (832) 559-7808
- NPI assigned
- Jun 8, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 97496 | TX | |
| Pharmacist | 183500000X | 59097 | TX | Primary |
Addresses
Primary practice location
17833 Kuykendahl Rd
Spring, TX 77379-8112
Mailing address
9310 San Marco Dr
Missouri City, TX 77459-7376
Phone (317) 965-7887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59097 | TX | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Awake Therapy Management PLLC | Mental Health | Current | Accepting new patients |
| Rivers State Pharmacy LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Missouri City, TX
- NPI 1528850971
-
- Community/Retail Pharmacy
- Rosenberg, TX
- NPI 1023648847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1225567696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9310 SAN MARCO DR",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774597376",
"telephone_number": "317-965-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17833 KUYKENDAHL RD",
"city": "SPRING",
"state": "TX",
"postal_code": "773798112",
"telephone_number": "832-559-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JULIAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-08",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TX",
"license": "97496",
"primary": false
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "TX",
"license": "59097",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.