Active NPI
Bobbie Janettee Henderson, PH.D.
- Marriage & Family Therapist
- Austin, TX
National Provider Identifier
1437347275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT4704
- Practice address
- 2525 Wallingwood Dr
Suite Number 700
Austin, TX 78746-6900 - Phone
- (512) 329-0299
- NPI assigned
- Oct 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT4704 | TX | Primary |
Addresses
Primary practice location
2525 Wallingwood Dr
Suite Number 700
Austin, TX 78746-6900
Mailing address
2525 Wallingwood Dr
Suite Number 700
Austin, TX 78746-6900
Phone (512) 329-0299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT4704 | TX | MD | Marriage & Family Therapist |
| 4704 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191542400000",
"number": "1437347275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR",
"address_2": "SUITE NUMBER 700",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466900",
"telephone_number": "512-329-0299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 WALLINGWOOD DR",
"address_2": "SUITE NUMBER 700",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787466900",
"telephone_number": "512-329-0299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "BOBBIE",
"middle_name": "JANETTEE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-05",
"last_updated": "2007-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "LMFT4704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.