Paul Kenneth Henry, MED

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RC00058885 Issued in WA

Practice address

13022 SE 305TH PL
Auburn, WA 98092-3309

Phone

(253) 394-6045

NPI assigned

Dec 12, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Paul Kenneth Henry Med LMHC PS

  • Mental Health Counselor
  • Lakewood, WA
  • NPI 1073935193
  NPD (past) Authorized official
• Lakewood Child and Family Counseling LLC

  • Mental Health Counselor
  • Lakewood, WA
  • NPI 1952635716
  NPD (past)
• Viridian Associates, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Tacoma, WA
  • NPI 1093834350
  NPD (past)

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1528241528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13022 SE 305TH PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923309",
            "telephone_number": "253-394-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13022 SE 305TH PL",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980923309",
            "telephone_number": "253-394-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "PAUL",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "MED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-12",
        "last_updated": "2022-08-01",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00058885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cai Hendrickson
• Jason Henke, DC
• Jenifer Marie Henkel, AAC
• Travon Alexis-Monet Hennings, MA
• Megan Lee Henry, OTR/L
• Thomas Michael Henry, DPM
• Sandra Andrea Hernandez
• Gordon A Herrick II, RN
• Brian Hervert, SUDP
• Ellen Hess

• Mental Health Counselor in Auburn, WA
• Providers in Auburn, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.