Shirley Johnson Henderson, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH0003465 Issued in FL

Practice address

2151 45TH St
Suite 207
West Palm Beach, FL 33407-2026

Phone

(561) 842-9550

Fax

(561) 842-9114

NPI assigned

Dec 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366503971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 45TH STREET",
            "address_2": "SUITE 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33407",
            "telephone_number": "561-842-9550",
            "fax_number": "561-842-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 45TH ST",
            "address_2": "SUITE 207",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072026",
            "telephone_number": "561-842-9550",
            "fax_number": "561-842-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SHIRLEY",
        "middle_name": "JOHNSON",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH0003465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "28451",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camile Desire Helton, CST-FA
• Helen Hembree, PA
• Cherreba Henderson
• Lashante P Henderson
• Raymond Henderson Sr., M.D.
• Vivien Marie Henderson, LMT
• Aline Hendricksen-Moise
• Sherri Henley
• Michael P Hennessy, DDS
• Ashlie Hennon

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.