Patrick Henry, MA, MA, LPC, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C.1902256 Issued in OH

Practice address

3012 Glenmore Ave
Cincinnati, OH 45238-2269

Phone

(720) 270-7890

NPI assigned

Sep 13, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Medpsych Ohio Valley , Inc

  dba Psychological Health Services

  • Psychologist
  • Lewis Center, OH
  • NPI 1346291085
  Medicare reassignment NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442

  OH, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1427608207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 396",
            "city": "SPRINGBORO",
            "state": "OH",
            "postal_code": "450660396",
            "telephone_number": "720-270-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 GLENMORE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452382269",
            "telephone_number": "720-270-7890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1445 W Main St",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "OH",
            "postal_code": "430551824",
            "country_code": "US",
            "telephone_number": "833-510-4357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "PATRICK",
        "name_prefix": "Mr.",
        "credential": "MA, MA, LPC, LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303839",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "C.1902256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410908",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Ann Henry
• Keith Henry
• Lauren Kay Henry
• Lauren N Henry, PA-C
• Paris Henry, B.S., CDCA
• Robert Henry, RN
• Sarah R Henry
• Sherri Lee Henry
• Susan R Henry
• Timothy D Henry, MD

• Professional Counselor in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Professional Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.