Individual provider Active NPI

Thomas Edward Henderson, M.A.

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1285308767
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23551 Issued in FL
Practice address
1964 Howell Branch Rd Ste 106
Winter Park, FL 32792-1042
Phone
(407) 657-5800
Fax
(407) 657-4249
NPI assigned
Aug 6, 2021
Last updated
Jun 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23551 FL Primary

Addresses

Primary practice location

1964 Howell Branch Rd Ste 106
Winter Park, FL 32792-1042

Mailing address

455 Rocky Brook CT
Casselberry, FL 32707-5230
Phone (407) 584-7179

Other practice location 1

910 S Winter Park Dr
Casselberry, FL 32707-5438
Phone (407) 270-1810 ext. 800

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.pinnaclecounselinginstitute.com/

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH23551FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Flourishing Initiative CurrentSince Nov 1, 2024 Accepting new patients
Pinnacle Counseling Institute, Inc. Mental Health PastSince Aug 8, 2021 Accepting new patients

Locations

910 S Winter Park Dr
Casselberry, FL 32707
Phone (407) 270-1810

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, 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": "1628208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1285308767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 ROCKY BROOK CT",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075230",
            "telephone_number": "407-584-7179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 HOWELL BRANCH RD STE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921042",
            "telephone_number": "407-657-5800",
            "fax_number": "407-657-4249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "910 S Winter Park Dr",
            "address_purpose": "LOCATION",
            "city": "Casselberry",
            "state": "FL",
            "postal_code": "327075438",
            "country_code": "US",
            "telephone_number": "407-270-1810 x800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-06",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.pinnaclecounselinginstitute.com/",
            "affiliation": "N",
            "address_1": "1964 Howell Branch Rd Ste 106",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327921042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

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