Individual provider Active NPI

Amy M Henderson, LPC,CPC

  • Mental Health Counselor
  • Highland Village, TX
National Provider Identifier
1225654429
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80875 Issued in TX
Practice address
2000 Highland Village Rd Ste C
Highland Village, TX 75077-8105
Phone
(214) 558-8272
NPI assigned
Jun 23, 2020
Last updated
Mar 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 80875 TX
Mental Health Counselor 101YM0800X 80875 TX Primary

Addresses

Primary practice location

2000 Highland Village Rd Ste C
Highland Village, TX 75077-8105

Mailing address

331 Waketon Rd
Double Oak, TX 75077-3051
Phone (214) 558-8272

Other names 1

  • Amy Aguinaga Former name

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

State licenses

LicenseStateTypeSpecialty
80875TXMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1225654429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 WAKETON RD",
            "city": "DOUBLE OAK",
            "state": "TX",
            "postal_code": "750773051",
            "telephone_number": "214-558-8272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 HIGHLAND VILLAGE RD STE C",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750778105",
            "telephone_number": "214-558-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "AMY",
        "middle_name": "M",
        "credential": "LPC,CPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80875",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "AGUINAGA",
            "credential": "CPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Highland Village, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.