Individual provider Active NPI

Tamathy Henderson, LPCC

  • Professional Counselor
  • Elizabethtown, KY
National Provider Identifier
1265041115
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
260844 Issued in KY
Practice address
2626 Ring Rd
Elizabethtown, KY 42701-9118
Phone
(270) 982-4200
Fax
(270) 982-4201
NPI assigned
Jul 27, 2020
Last updated
Aug 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 260844 KY Primary

Addresses

Primary practice location

2626 Ring Rd
Elizabethtown, KY 42701-9118

Mailing address

1689 Greensburg Rd
Hodgenville, KY 42748-9724
Phone (502) 779-0354

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
260844KYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tabb Therapy LLC CurrentSince Aug 25, 2025 Accepting new patients

Locations

2626 Ring Rd
Elizabethtown, KY 42701
Phone (270) 486-1479

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1265041115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1689 GREENSBURG RD",
            "city": "HODGENVILLE",
            "state": "KY",
            "postal_code": "427489724",
            "telephone_number": "502-779-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427019118",
            "telephone_number": "270-982-4200",
            "fax_number": "270-982-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TAMATHY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "260844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.