Active NPI
Katharine J Henderson, BA
- Mental Health Counselor
- Anaheim, CA
National Provider Identifier
1588786362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1901 E Center St
Anaheim, CA 92805-3457 - Phone
- (714) 780-0750
- Fax
- (714) 780-0757
- NPI assigned
- Apr 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1901 E Center St
Anaheim, CA 92805-3457
Mailing address
24012 Estacia Ave
Laguna Niguel, CA 92677-2213
Phone (949) 363-0441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588786362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24012 ESTACIA AVE",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926772213",
"telephone_number": "949-363-0441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 E CENTER ST",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928053457",
"telephone_number": "714-780-0750",
"fax_number": "714-780-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "KATHARINE",
"middle_name": "J",
"credential": "BA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.