Jeanne Lynne Henke, M.S., L.P.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

LP0358 Issued in MN

Practice address

300 3Rd Ave SE Ste 408
Rochester, MN 55904-4613

Phone

(507) 529-3622

Fax

(507) 529-9190

NPI assigned

Feb 28, 2007

Sex

Female

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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554854400000",
    "number": "1447387931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE STE 408",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044613",
            "telephone_number": "507-529-3622",
            "fax_number": "507-529-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 3RD AVE SE STE 408",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559044613",
            "telephone_number": "507-529-3622",
            "fax_number": "507-529-9190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENKE",
        "first_name": "JEANNE",
        "middle_name": "LYNNE",
        "credential": "M.S., L.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2019-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MN",
            "license": "LP0358",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MN",
            "license": "LP0358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE OF MN",
            "identifier": "115730",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0004380453",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "526850800",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abby Hendricks, PHARMD
• Jonathan M Hendricks, MD
• Theresa Hendricks
• Brian Hendrickson, APP
• Nancy Jean Hengeveld, M.S., L.P.
• John Thomas Henke, PA-C
• Kathleen D Henke, CRNA
• Nathan Henke
• Stanislav Henkin, MD
• Rafael Hennemann Sassi, MD

• Psychologist in Rochester, MN
• Providers in Rochester, MN by specialty
• Psychologist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; 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.