Chasity Henson
Individual provider Active NPI School Counselor · Portland, TN
NPI 1457719213 · NPPES record last updated Feb 8, 2016
Key facts
- NPI
- 1457719213
- Entity type
- Individual (NPI type 1)
- Primary specialty
- School Counselor 101YS0200X
- License
- 201184421 (KY)
- Practice address
- 1098 Gateview Dr
Portland, TN 37148-2166 - Phone
- (270) 705-5892
- NPI assigned
- Feb 8, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201184421 | KY | MD | School Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 201184421 | KY | Yes |
Addresses
Primary practice location
1098 Gateview Dr
Portland, TN 37148-2166
Mailing address
2722 Utah Dr
Bowling Green, KY 42104-4306
Phone (270) 705-5892
Other providers in Portland, TN
- Elizabeth Harrington
- Jennifer Lynn Harris
- Clark Hastings
- Hendersonville Hospital Corporation
- Hendersonville Hospital Corporation
- Julie A. Hicks
- Lydia Ellen Hicks
- Sherelen Hodges
- Hospital Based Medical Services of Tennessee-I PC
- Nicole Beall Jaques
All providers in Portland, TN · School Counselor in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.