Susan Carol Henderson, M.ED., LPC, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11092 Issued in TX

Practice address

550 S Watters Rd Ste 133
Allen, TX 75013-5225

Phone

(972) 654-8918

Fax

(214) 856-5817

NPI assigned

Nov 11, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Watters Creek Counseling and Consulting

  • Professional Counselor
  • Allen, TX
  • NPI 1437612033
  NPD (past) Authorized official

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1386898849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 S WATTERS RD STE 133",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135225",
            "telephone_number": "972-654-8918",
            "fax_number": "214-856-5817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 S WATTERS RD STE 133",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135225",
            "telephone_number": "972-654-8918",
            "fax_number": "214-856-5817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SUSAN",
        "middle_name": "CAROL",
        "credential": "M.ED., LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-11",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "4351",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "11092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Addisen Heffron
• Herlide Forero Heflin, P.T.
• Angeline Denise Heinzinger
• Katie Heistand
• Alvin Leon Henderson, LMSW
• Karen Hendricks, LVN
• Rachel Hendrix, LPC-A
• Henry Mendez Counselor PLLC
• Tracie Hensley
• Tamela Mae Henson, LVN

• Professional Counselor in Allen, TX
• Providers in Allen, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 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.

Verify at the official NPI Registry.