Individual provider Active NPI

Judy L Henderson, LPC

  • Mental Health Counselor
  • Greenville, NC
National Provider Identifier
1376586818
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4769 Issued in NC
Practice address
1705 W 6TH St
Suite H
Greenville, NC 27834-2829
Phone
(252) 758-4810
Fax
(252) 758-3790
NPI assigned
Jun 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 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 4769 NC Primary

Addresses

Primary practice location

1705 W 6TH St
Suite H
Greenville, NC 27834-2829

Mailing address

1705 W 6TH St
Suite H
Greenville, NC 27834-2829
Phone (252) 758-4810

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20240925003374 NC Practitioner - Mental Health Counselor 4789125170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mindpath Care Centers North Carolina PLLCGroup PAC ID 4688655517, 115 clinicians

Practice addresses (Care Compare)

502 Red Banks Rd
Suite a
Greenville, NC 27858-5751
Phone (252) 758-4810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindpath Care Centers, North Carolina, PLLC Mental Health CurrentSince Aug 20, 2024 Accepting new patients
Greenville Psychiatric Associates, PA PastSince Aug 20, 2024 Accepting new patients

Locations

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

4 Doctors Park
Ste H
Asheville, NC 28801
Phone (828) 633-6070

502 Red Banks Rd
Ste A
Greenville, NC 27858
Phone (252) 758-4810

Interoperability endpoints

  • Direct secure messaging: mpsc.judyhenderson@114018.advancedmd-direct.com

Organizations & group practices 2

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": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1376586818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 W 6TH ST",
            "address_2": "SUITE H",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342829",
            "telephone_number": "252-758-4810",
            "fax_number": "252-758-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 W 6TH ST",
            "address_2": "SUITE H",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278342829",
            "telephone_number": "252-758-4810",
            "fax_number": "252-758-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JUDY",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "4769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.