Melissa Henderson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

75326 Issued in TX

Practice address

2150 Lakeside Blvd Ste 100
Richardson, TX 75082-4302

Phone

(972) 437-4698

Fax

(972) 690-9309

NPI assigned

Nov 11, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1326477332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OLD WEST CHESTER PIKE",
            "city": "HAVERTOWN",
            "state": "PA",
            "postal_code": "190832712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 LAKESIDE BLVD STE 100",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750824302",
            "telephone_number": "972-437-4698",
            "fax_number": "972-690-9309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MELISSA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-11",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006935",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Michelle Henderson, M.A., LPC
• Ian J Henderson, MD
• Jalynn Henderson
• Jill P Henderson, LPC
• Maegan Danielle Henderson, FNP
• Patrick Bouvier Henderson
• Mary Elizabeth Hendrix, AUDIOLOGIST
• Judy Hendry
• Belinda Henington, O.T.
• Beth Ann Henke, RPH

• Professional Counselor in Richardson, TX
• Providers in Richardson, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.