Individual provider Active NPI

Jane Anne Henke, L.P.C.

  • Professional Counselor
  • O Fallon, MO
National Provider Identifier
1265720973
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2005038675 Issued in MO
Practice address
1001 Boardwalk Springs PL
Suite 111
O Fallon, MO 63368-4778
Phone
(636) 544-0479
Fax
(636) 281-1348
NPI assigned
Jul 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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 2005038675 MO Primary

Addresses

Primary practice location

1001 Boardwalk Springs PL
Suite 111
O Fallon, MO 63368-4778

Mailing address

7219 Picasso Dr
Dardenne Prairie, MO 63368-6823
Phone (636) 544-0479

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
2005038675MOMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310601600000",
    "number": "1265720973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7219 PICASSO DR",
            "city": "DARDENNE PRAIRIE",
            "state": "MO",
            "postal_code": "633686823",
            "telephone_number": "636-544-0479",
            "fax_number": "636-281-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BOARDWALK SPRINGS PL",
            "address_2": "SUITE 111",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633684778",
            "telephone_number": "636-544-0479",
            "fax_number": "636-281-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "JANE",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "L.P.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2005038675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.