NPIMap

Organization Active NPI

Henning and Associates Inc

  • Clinical Social Worker
  • Dallas, NC
National Provider Identifier
1407227309
Registry record updated Mar 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P009324 Issued in NC
Legal business name
HENNING AND ASSOCIATES INC
Practice address
1002 Philadelphia Church Rd
Dallas, NC 28034-7684
Phone
(704) 923-8360
Fax
(704) 923-8364
NPI assigned
Oct 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2016

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

Authorized official

Name
Mr. Mark Haynes Henning
Title
Ceo
Phone
(704) 923-8360

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 21100.320 NC
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X P009324 NC Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X

Addresses

Primary practice location

1002 Philadelphia Church Rd
Dallas, NC 28034-7684

Mailing address

1002 Philadelphia Church Rd
Dallas, NC 28034-7684
Phone (704) 923-8360

Other identifiers 1

IdentifierTypeStateIssuer
3408836MedicaidNC

Other names 1

  • Odyssey Counseling Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Henning and Associates Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1445126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457308800000",
    "number": "1407227309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 PHILADELPHIA CHURCH RD",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280347684",
            "telephone_number": "704-923-8360",
            "fax_number": "704-923-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 PHILADELPHIA CHURCH RD",
            "city": "DALLAS",
            "state": "NC",
            "postal_code": "280347684",
            "telephone_number": "704-923-8360",
            "fax_number": "704-923-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENNING AND ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-18",
        "last_updated": "2016-03-07",
        "status": "A",
        "authorized_official_last_name": "HENNING",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HAYNES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-923-8360",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "21100.320",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P009324",
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408836",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Odyssey Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.