Active NPI
Thomas Edward Henderson, M.A.
- Mental Health Counselor
- Winter Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23551
- 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, 2025
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH23551 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Flourishing Initiative | Current | Accepting new patients | |
| Pinnacle Counseling Institute, Inc. | Mental Health | Past | 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.
-
dba Flourish Together Counseling Center
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Casselberry, FL
- NPI 1184446379
-
- Mental Health Counselor
- Winter Park, FL
- NPI 1609326503
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.