Active NPI
Krystal Henderson
- Counselor
- Millersville, MD
National Provider Identifier
1265889463
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LC7029
- Practice address
- 8227 Cloverleaf Dr
303
Millersville, MD 21108-1565 - Phone
- (410) 987-1036
- NPI assigned
- May 17, 2016
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LC7029 | MD | Primary |
Addresses
Primary practice location
8227 Cloverleaf Dr
303
Millersville, MD 21108-1565
Mailing address
8227 Cloverleaf Dr
303
Millersville, MD 21108-1565
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 |
|---|---|---|---|
| LC7029 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1463443200000",
"number": "1265889463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8227 CLOVERLEAF DR",
"address_2": "303",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8227 CLOVERLEAF DR",
"address_2": "303",
"city": "MILLERSVILLE",
"state": "MD",
"postal_code": "211081565",
"telephone_number": "410-987-1036"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "KRYSTAL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-17",
"last_updated": "2016-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "LC7029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.