Active NPI
Mary Ann Hensley, ED.D., LPC, RPT
- Counselor
- Windermere, FL
National Provider Identifier
1497417018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC011422
- Practice address
- 11434 Jasper Kay Ter Unit 1114
Windermere, FL 34786-5528 - Phone
- (706) 459-7742
- NPI assigned
- Oct 11, 2021
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC011422 | GA | Primary |
Addresses
Primary practice location
11434 Jasper Kay Ter Unit 1114
Windermere, FL 34786-5528
Mailing address
11434 Jasper Kay Ter Unit 1114
Windermere, FL 34786-5528
Phone (706) 459-7742
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC011422 | GA | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633910400000",
"number": "1497417018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11434 JASPER KAY TER UNIT 1114",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865528",
"telephone_number": "706-459-7742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11434 JASPER KAY TER UNIT 1114",
"city": "WINDERMERE",
"state": "FL",
"postal_code": "347865528",
"telephone_number": "706-459-7742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENSLEY",
"first_name": "MARY",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "ED.D., LPC, RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-11",
"last_updated": "2021-10-11",
"certification_date": "2021-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "GA",
"license": "LPC011422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Windermere, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.