Evelyn Ann Henderson, NCC, BSL, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC007065 Issued in PA

Practice address

1501 McDaniel Dr
Suite B-2
West Chester, PA 19380-6671

Phone

(610) 316-2726

NPI assigned

Mar 8, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 18, 2024 through May 18, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science - Law

State licenses

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

{
    "created_epoch": "1394236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394236800000",
    "number": "1497171979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 MCDANIEL DR",
            "address_2": "SUITE B-2",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806671",
            "telephone_number": "610-316-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MCDANIEL DR",
            "address_2": "SUITE B-2",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193806671",
            "telephone_number": "610-316-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EVELYN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "NCC, BSL, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-08",
        "last_updated": "2014-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC007065",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH000074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Heintzelman
• Mary Caitlin Samuels Heintzelman, PA-C
• Hope B. Helfeld, D.O.
• Erica Helias
• Stephanie Helms
• Marguerite E Hendrickson, L.C.S.W.
• Lauren Henry, OTR/L
• Michael Thomas Henry, PA-C
• Tara Henry, MS CCC-SLP
• Nicole Henwood, MD

• Professional Counselor in West Chester, PA
• Providers in West Chester, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2014; 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.

Verify at the official NPI Registry.