Kenneth Ray Henderson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

13115 Whittington Dr Apt 9310
Houston, TX 77077-2690

Phone

(804) 335-7549

NPI assigned

Sep 16, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Abs Mental Health LLC TX

  • Community/Behavioral Health Agency
  • Houston, TX
  • NPI 1841162104
  NPD Authorized official
• Adolescent Behavior Services LLC.

  • Community/Behavioral Health Agency
  • Chesterfield, VA
  • NPI 1053985150
  NPD Authorized official

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1639040397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 WHITTINGTON DR APT 9310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772690",
            "telephone_number": "804-335-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13115 WHITTINGTON DR APT 9310",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772690",
            "telephone_number": "804-335-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KENNETH",
        "middle_name": "RAY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Henderson
• Justin D Henderson, PH.D., LPC-S
• Kameron Henderson
• Karen Marie Henderson, PA-C
• Kelly Jean Henderson
• Kenneth Roberto Henderson
• Kimberly L Henderson, M.D.
• Kimberly M Henderson, OT
• Krista Price Henderson, APRN
• Lakeshia Henderson

• Community/Behavioral Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Community/Behavioral Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.