Active NPI
John M. Henderson, PHD, LPC
- Professional Counselor
- Flower Mound, TX
National Provider Identifier
1619955366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17959
- Practice address
- 6021 Morriss Rd
Suite 112
Flower Mound, TX 75028-3710 - Phone
- (469) 635-2200
- Fax
- (972) 874-0523
- NPI assigned
- Jan 4, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 17959 | TX | Primary |
Addresses
Primary practice location
6021 Morriss Rd
Suite 112
Flower Mound, TX 75028-3710
Mailing address
6021 Morriss Rd
Suite 112
Flower Mound, TX 75028-3710
Phone (469) 635-2200
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
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17959 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619955366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6021 MORRISS RD",
"address_2": "SUITE 112",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283710",
"telephone_number": "469-635-2200",
"fax_number": "972-874-0523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6021 MORRISS RD",
"address_2": "SUITE 112",
"city": "FLOWER MOUND",
"state": "TX",
"postal_code": "750283710",
"telephone_number": "469-635-2200",
"fax_number": "972-874-0523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "JOHN",
"middle_name": "M.",
"credential": "PHD, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "17959",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flower Mound, TX
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.