Victoria Nicole Henderson

Individual provider Active NPI Mental Health Counselor · Greensburg, KY

NPI 1417567231 · NPPES record last updated Oct 26, 2023

Key facts

NPI
1417567231
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
521 Old Hodgenville Rd
Greensburg, KY 42743-9478
Phone
(270) 932-3226
Fax
(270) 932-5328
NPI assigned
Aug 6, 2020
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. Past
since Aug 9, 2020
Accepting new patients
Lake Cumberland Regional MHMR Board Outpatient Past
since Aug 9, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

521 Old Hodgenville Rd
Greensburg, KY 42743-9478

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782

Other practice location 1

125 S Main Cross St
Louisa, KY 41230-1065
Phone (606) 638-0938

Other providers in Greensburg, KY

All providers in Greensburg, KY · Mental Health Counselor in Kentucky

Sources for this page

Verify at the official NPI Registry.