Active NPI
Casarah Henderson, M.S.
- Counselor
- Longwood, FL
National Provider Identifier
1508429358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1060 W State Road 434
Longwood, FL 32750-4919 - Phone
- (407) 307-5336
- NPI assigned
- Apr 17, 2019
- 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 | Primary |
Addresses
Primary practice location
1060 W State Road 434
Longwood, FL 32750-4919
Mailing address
800 Polk St
Orlando, FL 32805-1637
Phone (321) 999-6382
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1508429358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 POLK ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328051637",
"telephone_number": "321-999-6382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1060 W STATE ROAD 434",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327504919",
"telephone_number": "407-307-5336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "CASARAH",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-17",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.