Active NPI
Diamond Henderson, LCMHCA
- Professional Counselor
- Greensboro, NC
National Provider Identifier
1265096119
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A14776
- Practice address
- 3816 N Elm St Ste C
Greensboro, NC 27455-2776 - Phone
- (336) 545-5995
- NPI assigned
- Apr 25, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A14776 | NC | Primary |
Addresses
Primary practice location
3816 N Elm St Ste C
Greensboro, NC 27455-2776
Mailing address
440 Magnolia Branch Dr Apt 10
Winston Salem, NC 27104-4409
Phone (404) 513-2306
Other practice location 1
1 Centerview Dr
Greensboro, NC 27407-3713
Phone (336) 617-0469
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@akachisolution.org |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A14776 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guess Community Services,Inc. | Past | Accepting new patients | |
| Akachi Solution, 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.
-
- Community/Behavioral Health Agency
- Greensboro, NC
- NPI 1295223535
-
- Case Management Agency
- Greensboro, NC
- NPI 1316269186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600646400000",
"number": "1265096119",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 MAGNOLIA BRANCH DR APT 10",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271044409",
"telephone_number": "404-513-2306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3816 N ELM ST STE C",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274552776",
"telephone_number": "336-545-5995"
}
],
"practiceLocations": [
{
"address_1": "1 Centerview Dr",
"address_purpose": "LOCATION",
"city": "Greensboro",
"state": "NC",
"postal_code": "274073713",
"country_code": "US",
"telephone_number": "336-617-0469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "DIAMOND",
"credential": "LCMHCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2020-09-21",
"certification_date": "2020-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A14776",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@akachisolution.org",
"affiliation": "N",
"address_1": "3816 N Elm St Ste C",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274552776",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.