Jennifer Lynn Henson, LPCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

279882 Issued in KY

Practice address

142 Black St
Barbourville, KY 40906-1483

Phone

(606) 219-4676

Fax

(606) 896-2080

NPI assigned

Sep 21, 2022

Last updated

Sep 21, 2022By the provider in NPPES

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Pride Counseling

  • Community/Behavioral Health Agency
  • Barbourville, KY
  • NPI 1902314974
  NPD

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1235852633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 BLACK ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061483",
            "telephone_number": "606-219-4676",
            "fax_number": "606-896-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 BLACK ST",
            "city": "BARBOURVILLE",
            "state": "KY",
            "postal_code": "409061483",
            "telephone_number": "606-219-4676",
            "fax_number": "606-896-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2107 Cumberland Ave",
            "address_purpose": "LOCATION",
            "city": "Middlesboro",
            "state": "KY",
            "postal_code": "409652830",
            "country_code": "US",
            "telephone_number": "606-219-4676 x113",
            "fax_number": "606-896-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSON",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "279882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jennifer.henson@familypride.net",
            "affiliation": "N",
            "address_1": "142 Black St",
            "city": "Barbourville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "409061483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Barbourville, KY
• Providers in Barbourville, KY by specialty
• Mental Health Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.