Percy Anderson Henderson Jr., MASTERS IN PSYCHOLOG

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

7420 S 89TH East Ave
Tulsa, OK 74133-3127

Phone

(323) 439-6438

NPI assigned

Apr 3, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1356684765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7420 S 89TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333127",
            "telephone_number": "323-439-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 S 89TH EAST AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741333127",
            "telephone_number": "323-439-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "PERCY",
        "middle_name": "ANDERSON",
        "name_prefix": "Prof.",
        "name_suffix": "Jr.",
        "credential": "MASTERS IN PSYCHOLOG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Latisha Henderson
• Lisa M Henderson, LPC
• Megan Lonnelle Henderson, MS
• Patrick Glen Henderson, M.D.
• Patrick James Henderson, D.O.
• Rachel Henderson, OTR/L
• Shereca Henderson, APRN
• Tanna Henderson
• Tawnya Denise Henderson
• Tommy Ray Henderson

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.