Fanita Sanders Henderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004277 Issued in NY

Practice address

100 N Village Ave
Suite 17
Rockville Centre, NY 11570-3767

Phone

(516) 330-0870

Fax

(516) 330-0870

NPI assigned

Feb 28, 2013

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

• Fanita Sanders 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": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362009600000",
    "number": "1619217650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "793 E CARL AVE",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115101902",
            "telephone_number": "516-330-0870",
            "fax_number": "516-705-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N VILLAGE AVE",
            "address_2": "SUITE 17",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703767",
            "telephone_number": "516-330-0870",
            "fax_number": "516-330-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "FANITA",
        "middle_name": "SANDERS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2013-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FANITA",
            "last_name": "SANDERS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2013; 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.