Active NPI
Janessa M Henninger, PH.D., LPC, RPT-S
- Mental Health Counselor
- Hilo, HI
National Provider Identifier
1346957628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0013396
- Practice address
- 157 Leimamo St
Hilo, HI 96720-3742 - Phone
- (719) 580-8757
- NPI assigned
- Nov 4, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | LPC.0013396 | CO | Primary |
Addresses
Primary practice location
157 Leimamo St
Hilo, HI 96720-3742
Mailing address
157 Leimamo St
Hilo, HI 96720-3742
Phone (719) 580-8757
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC.0013396 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1346957628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 LEIMAMO ST",
"city": "HILO",
"state": "HI",
"postal_code": "967203742",
"telephone_number": "719-580-8757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 LEIMAMO ST",
"city": "HILO",
"state": "HI",
"postal_code": "967203742",
"telephone_number": "719-580-8757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNINGER",
"first_name": "JANESSA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "PH.D., LPC, RPT-S",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-04",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0013396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.