Shelby Henderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

722 S Lincoln Ave Ste 1
York, NE 68467-4242

Phone

(402) 362-6128

Fax

(402) 362-7012

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Blue Valley Behavioral Health Inc

  • Community/Behavioral Health Agency
  • Beatrice, NE
  • NPI 1316019508
  NPD

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1568072163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N 9TH ST",
            "city": "BEATRICE",
            "state": "NE",
            "postal_code": "683102041",
            "telephone_number": "402-228-3386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S LINCOLN AVE STE 1",
            "city": "YORK",
            "state": "NE",
            "postal_code": "684674242",
            "telephone_number": "402-362-6128",
            "fax_number": "402-362-7012"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "459 S 6th St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Seward",
            "state": "NE",
            "postal_code": "684342407",
            "country_code": "US",
            "telephone_number": "402-643-3343",
            "fax_number": "402-643-4048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "SHELBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ivy G Hanson, PHARM D
• Jennifer Harms
• Kathleen Harwick, RN
• Brad K Heins
• Atley Jnel Henderson, RN
• Thomas Hernandez
• Lauren Herzberg, DDS
• Joann Hicks
• Gary Hieronymus
• Brenda Jean Hills, RN

• Mental Health Counselor in York, NE
• Providers in York, NE by specialty
• Mental Health Counselor in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.