Charisma Jayne Henderson, LMHC, ATR

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8205 Issued in MA

Practice address

1245 Hancock St Ste 25
Quincy, MA 02169-4365

Phone

(818) 335-5104

NPI assigned

May 25, 2010

Last updated

Nov 8, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1274745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1518286988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 NANTASKET AVE UNIT C",
            "city": "HULL",
            "state": "MA",
            "postal_code": "020452556",
            "telephone_number": "818-335-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 HANCOCK ST STE 25",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694365",
            "telephone_number": "818-335-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHARISMA",
        "middle_name": "JAYNE",
        "credential": "LMHC, ATR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-25",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "8205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen S Heiko Wong, MSW
• Katelyn Helwick, PA-C
• Zuhayr Hemady, M.D.
• Ashley Hemeon
• Brooke Henderson, PHARMD
• Meaghan Elizabeth Hennessey, CNP
• Abigail R Hennigan
• Ursula I Henrichs, LICSW
• Brandi-Ann Henry, LMFT
• Cristina Suzanne Hensel

• Mental Health Counselor in Quincy, MA
• Providers in Quincy, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.