Kathleen Ann Marks-Henderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P0303004 Issued in AR

Practice address

5111 Rogers Ave
Suite 525
Fort Smith, AR 72903-2047

Phone

(479) 461-3281

Fax

(479) 478-0282

NPI assigned

Aug 10, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kathy Henderson Other 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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639180482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3023 MOSS RD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "729566889",
            "telephone_number": "479-461-3281",
            "fax_number": "479-478-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5111 ROGERS AVE",
            "address_2": "SUITE 525",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729032047",
            "telephone_number": "479-461-3281",
            "fax_number": "479-478-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKS-HENDERSON",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0303004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHY",
            "last_name": "HENDERSON",
            "prefix": "MRS.",
            "credential": "M.S., L.P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Andrea Lauren Mardis, COTA/L
• Margaret J Thiele DDS PA
• Arthur Basil Marino, OTR
• Mark a Willis DDS Ms PA
• Allison Marker, DO
• Jennifer Lynn Marley, OTRL
• Corey Marquis, PTA
• Drew Alan Marr, LMSW
• Renee Marr
• Jesse Marschewski, LAC

• Mental Health Counselor in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Mental Health Counselor in Arkansas

• 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.

Verify at the official NPI Registry.