Lawanda L Henderson

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

19925 E 44TH St S
Broken Arrow, OK 74014-8224

Phone

(918) 951-3455

Fax

(918) 355-5734

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606435200000",
    "number": "1306188685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19925 E 44TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148224",
            "telephone_number": "918-951-3455",
            "fax_number": "918-355-5734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19925 E 44TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148224",
            "telephone_number": "918-951-3455",
            "fax_number": "918-355-5734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LAWANDA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20028712GA",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Heiser, PHARMD
• Monica Lee Heisler, RN, BSN, MSN, FNP-BC
• Amanda Helm, PA
• Donald Ray Helmer Jr.
• Morgan E Helms, LCSW
• Zela J Henderson, PT
• Tiffany M Henley, O.T.A
• Tabitha Lynette Henninger
• Aaron Michael Henningsen, LMT
• Guy Henrion

• Counselor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.

Verify at the official NPI Registry.