Individual provider Active NPI

Jennifer Lynn Henshaw, MS, LMFT

  • Mental Health Counselor
  • Eastvale, CA
National Provider Identifier
1346736600
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
107485 Issued in CA
Practice address
5800 Hamner Ave SPC 149
Eastvale, CA 91752-4638
Phone
(909) 346-5521
NPI assigned
Jul 10, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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 107485 CA Primary

Addresses

Primary practice location

5800 Hamner Ave SPC 149
Eastvale, CA 91752-4638

Mailing address

5800 Hamner Ave SPC 149
Eastvale, CA 91752-4638
Phone (909) 205-7085

Other practice location 1

288 W 9th St
Upland, CA 91786-5949
Phone (909) 981-0270

Other identifiers 1

IdentifierTypeStateIssuer
107485OtherCACALIFORNIA BOARD OF BEHAVIORAL SCIENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028003971 CA Practitioner - Marriage and Family Therapist 3274066378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rosewood Counseling Center IncGroup PAC ID 8426597303, 6 clinicians

Practice addresses (Care Compare)

288 W 9TH St
Upland, CA 91786-5949
Phone (909) 981-0270

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Rosewood Counseling Center, Inc. CurrentSince Oct 15, 2024 Accepting new patients

Locations

288 W 9th St
Upland, CA 91786
Phone (909) 981-0270

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1531180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1346736600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 HAMNER AVE SPC 149",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917524638",
            "telephone_number": "909-205-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 HAMNER AVE SPC 149",
            "city": "EASTVALE",
            "state": "CA",
            "postal_code": "917524638",
            "telephone_number": "909-346-5521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "288 W 9th St",
            "address_purpose": "LOCATION",
            "city": "Upland",
            "state": "CA",
            "postal_code": "917865949",
            "country_code": "US",
            "telephone_number": "909-981-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSHAW",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-10",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "107485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF BEHAVIORAL SCIENCE",
            "identifier": "107485",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastvale, CA

Sources for this page

Verify at the official NPI Registry.