Sylvia Dianne Henderson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

CO716 Issued in OR

Practice address

500 SW Bond Suite 106
Suite 106
Bend, OR 97702

Phone

(541) 389-6360

Fax

(541) 389-6360

NPI assigned

Nov 15, 2005

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1528040730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67170 HARRINGTON LOOP ROAD",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97701",
            "telephone_number": "541-389-6360",
            "fax_number": "541-389-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SW BOND SUITE 106",
            "address_2": "SUITE 106",
            "city": "BEND",
            "state": "OR",
            "postal_code": "97702",
            "telephone_number": "541-389-6360",
            "fax_number": "541-389-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SYLVIA",
        "middle_name": "DIANNE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-15",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "CO716",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "CO716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mike Daniel Henderson, D.O.
• Robin J Henderson, PSYD
• Russell Loyd Henderson, FNP-BC
• Sidney E Henderson III, M.D.
• Stephanie Henderson
• Tracy Renee Henderson
• Valerie Rose Henderson
• Abby P. Hendricks, M.D.
• Andrea Jeanne Hendrickson
• Keith Jacob Hendrix, LPC

• Professional Counselor in Bend, OR
• Providers in Bend, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.