Marlon Henao

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

CG61097214 Issued in WA

Practice address

901 Rainier Ave S
Seattle, WA 98144-2839

Phone

(206) 818-0817

Fax

(206) 470-3857

NPI assigned

Sep 14, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pioneer Human Services

  • Community/Behavioral Health Agency
  • Seattle, WA
  • NPI 1265554463
  NPD (past)

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1619582871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442839",
            "telephone_number": "206-818-0817",
            "fax_number": "206-470-3857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 RAINIER AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442839",
            "telephone_number": "206-818-0817",
            "fax_number": "206-470-3857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENAO",
        "first_name": "MARLON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WA",
            "license": "CG61097214",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WA",
            "license": "CG61097214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Anne Hemphill, LMHCA
• Lisa Hemphill, LMP
• Tony Karriem Hemphill, D.C.
• Megan Hemple
• Christopher Hempson
• James B. Hendele, M.D.
• Kristopher Allen Hendershot, MD
• Angela Henderson, LMP
• Chelsee Henderson
• Jennifer Beth Henderson, MA LMHC

• Peer Specialist in Seattle, WA
• Providers in Seattle, WA by specialty
• Peer Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.