Denise Henderson

Primary specialty

DriverTaxonomy code 172A00000X

License

J525139765301 Issued in MI

Practice address

19797 Fielding St
Detroit, MI 48219-2019

Phone

(313) 740-4994

NPI assigned

Aug 18, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Denise Jenkins Former name

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": "1755475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1538046990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19797 FIELDING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192019",
            "telephone_number": "313-740-4994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19797 FIELDING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482192019",
            "telephone_number": "313-740-4994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "MI",
            "license": "J525139765301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENISE",
            "last_name": "JENKINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Todd Henderson, LPC
• Carrie Ann Henderson, M.S. CCC-SLP
• Charlesetta Ladina Henderson
• Christopher R Henderson Jr.
• Denico Lynn Henderson, LBSW
• Elbert Maurice Henderson Jr.
• Jennifer Henderson
• Jessica Michelle Henderson
• Joyce Henderson
• Kathy A. Henderson, CAC-1

• All providers in Detroit, MI
• Driver in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.