Individual provider Active NPI

Andrew B Henderson

  • Mental Health Counselor
  • Delta, CO
National Provider Identifier
1437650496
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
70 Stafford Lane, Suite a
Delta, CO 81416-1811
Phone
(970) 874-6008
Fax
(970) 874-4169
NPI assigned
Feb 26, 2018
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

70 Stafford Lane, Suite a
Delta, CO 81416-1811

Mailing address

2130 E Main St
Montrose, CO 81401-3834
Phone (970) 252-3200

Other practice location 1

296 Stafford Lane, Suite A
Delta, CO 81416
Phone (970) 874-5777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Delta County Memorial Hospital CurrentSince Mar 12, 2024 Accepting new patients
Delta County Memorial Hospital CurrentSince Mar 12, 2024 Accepting new patients

Locations

1450 Burgess St
Delta, CO 81416
Phone (970) 874-7668

257 Cottonwood St
Delta, CO 81416
Phone (970) 399-4200

296 Stafford Ln
Ste A
Delta, CO 81416
Phone (970) 874-5777

70 Stafford Ln
Unit A
Delta, CO 81416
Phone (970) 874-6008

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1437650496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2130 E MAIN ST",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814013834",
            "telephone_number": "970-252-3200",
            "fax_number": "970-252-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 STAFFORD LANE, SUITE A",
            "city": "DELTA",
            "state": "CO",
            "postal_code": "814161811",
            "telephone_number": "970-874-6008",
            "fax_number": "970-874-4169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "296 Stafford Lane, Suite A",
            "address_purpose": "LOCATION",
            "city": "Delta",
            "state": "CO",
            "postal_code": "81416",
            "country_code": "US",
            "telephone_number": "970-874-5777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "ANDREW",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-26",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delta, CO

Sources for this page

Verify at the official NPI Registry.