Megan Jamine Henrichsen, HSP-PA, BCBA

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4458 Issued in NC

Practice address

647 Brawley School Rd Ste 104
Mooresville, NC 28117-6876

Phone

(704) 703-8588

NPI assigned

Mar 24, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mhenrichsen@berth-behavior-consultat.direct.kno2fy.com

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.

• Hope Psychological Services, PLLC

  • Psychologist
  • Raleigh, NC
  • NPI 1306729702
  NPD Authorized official
• Highlights Healthcare, LLC

  • Community/Behavioral Health Agency
  • Mooresville, NC
  • NPI 1366047474
  NPD (past)

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1598064917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 BRAWLEY SCHOOL RD STE 104",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176876",
            "telephone_number": "704-703-8588",
            "fax_number": "704-919-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 BRAWLEY SCHOOL RD STE 104",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176876",
            "telephone_number": "704-703-8588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8801 Fast Park Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "27617",
            "country_code": "US",
            "telephone_number": "704-703-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2420 US Highway 70 E",
            "address_purpose": "LOCATION",
            "city": "New Bern",
            "state": "NC",
            "postal_code": "285606798",
            "country_code": "US",
            "telephone_number": "704-703-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2609 N Duke St",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277043048",
            "country_code": "US",
            "telephone_number": "704-703-8588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 Hargett St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285405924",
            "country_code": "US",
            "telephone_number": "704-703-8588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRICHSEN",
        "first_name": "MEGAN",
        "middle_name": "JAMINE",
        "name_prefix": "Ms.",
        "credential": "HSP-PA, BCBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NC",
            "license": "C-11-4041",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TM1800X",
            "taxonomy_group": "",
            "desc": "Psychologist, Intellectual & Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aubreigh Heisler, LCSWA
• Edward J. Heller, PT
• Shirley Ann Henderson, DDS
• Thomas James Henderson, R.PH.
• Karen Hendricks, RPH
• Dorothy Hensley, QP
• Anna Kathleen Hermanson, OT/L
• Amanda Hibbitts, LICENSED MASSAGE THE
• Amber Hicks-Thibodeau
• Bradley James Hicks, PA

• Psychologist in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.