Carlton Jermaine Henderson, PH.D.

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

5328 Hunt Master Dr Apt a
Midlothian, VA 23112-2765

Phone

(804) 322-7185

NPI assigned

Jul 18, 2022

Last updated

Jul 18, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

Practice roles

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

• CJH Enterprises

  dba Manifest Wellness Counseling & Consulting

  • Professional Counselor
  • Chesterfield, VA
  • NPI 1366320251
  NPD Authorized official
• CPJ Counseling Services LLC

  • Professional Counselor
  • Bryans Road, MD
  • NPI 1396233730
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1538894233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42034",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224042034",
            "telephone_number": "804-322-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5328 HUNT MASTER DR APT A",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231122765",
            "telephone_number": "804-322-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CARLTON",
        "middle_name": "JERMAINE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlton@cpjcounseling.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "5328 Hunt Master Dr Apt A",
            "city": "Midlothian",
            "state": "VA",
            "country_code": "US",
            "postal_code": "231122765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary Beth Heller, PH.D.
• Jamie Lynn Helmich, MD
• Helping Hands Billing Solutions
• Helping Hands Home Care LLC
• Anne Henderson, PT
• Clifford E. Henderson, M.D.
• Edward Money Henderson, DO
• Kasey Henderson, DPT
• Sheniqua Henderson
• Simone Faith Henderson, COSMETOLOGIST

• Counselor in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Counselor in Virginia

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