Active NPI
Karen Henderson, CDP
- Addiction (Substance Use Disorder) Counselor
- Spokane Valley, WA
National Provider Identifier
1356887004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CP60474392
- Practice address
- 5600 E 8TH Ave
Spokane Valley, WA 99212-0220 - Phone
- (509) 533-6910
- Fax
- (509) 535-2863
- NPI assigned
- Jan 18, 2017
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CP60474392 | WA | Primary |
Addresses
Primary practice location
5600 E 8TH Ave
Spokane Valley, WA 99212-0220
Mailing address
5600 E 8TH Ave
Spokane Valley, WA 99212-0220
Phone (509) 533-6910
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CP60474392 | WA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484697600000",
"number": "1356887004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 E 8TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992120220",
"telephone_number": "509-533-6910",
"fax_number": "509-535-2863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 E 8TH AVE",
"city": "SPOKANE VALLEY",
"state": "WA",
"postal_code": "992120220",
"telephone_number": "509-533-6910",
"fax_number": "509-535-2863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "KAREN",
"credential": "CDP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2017-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CP60474392",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Spokane Valley, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.