Amber Hennebert, M.A., CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP.11308 Issued in OH

Practice address

901 44TH St NW
Canton, OH 44709-1611

Phone

(330) 492-3500

NPI assigned

Feb 12, 2014

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

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Plain Local School District

  • Local Education Agency (LEA)
  • Canton, OH
  • NPI 1205950979
  NPD (past)
• Plain Local Schools

  • Local Education Agency (LEA)
  • Canton, OH
  • NPI 1669611943
  NPD (past)

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

{
    "created_epoch": "1392163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1336563253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 44TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091611",
            "telephone_number": "330-492-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 44TH ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447091611",
            "telephone_number": "330-492-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEBERT",
        "first_name": "AMBER",
        "credential": "M.A., CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-12",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "COND.2014095",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OH",
            "license": "SP.11308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha L Henderson, COTA/L
• Tanaya Annette Henderson
• Christian Hendricks, MA, LPCC
• Cynthia B Hendricks, LPCC-S
• Sydney Rae Hendricks, OTR/L
• Joshua Michael Henning, MD
• Cody Henninge
• Hayley Madison Hensal, BS
• Tara Hensley
• Craig J Henzel, D.D.S.

• Speech-Language Pathologist in Canton, OH
• Providers in Canton, OH by specialty
• Speech-Language Pathologist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.