Monique Henderson

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

11137 Tara Blvd
Suite 230-154
Hampton, GA 30228-1672

Phone

(678) 325-7936

NPI assigned

Nov 29, 2009

Last updated

Nov 29, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Georgia Center for Youth and Families, Inc.

  • Community/Behavioral Health Agency
  • Hampton, GA
  • NPI 1801124029
  NPD (past) Authorized official

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

{
    "created_epoch": "1259452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259452800000",
    "number": "1639407851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11137 TARA BLVD",
            "address_2": "SUITE 230-154",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11137 TARA BLVD",
            "address_2": "SUITE 230-154",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302281672",
            "telephone_number": "678-325-7936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "MONIQUE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-29",
        "last_updated": "2009-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Haynes, RPH
• Shakita Haywood
• Healthcare Authority
• Heart Felt Counseling Center
• Hearts of Care, LLC
• Here 4 U Home Care
• Aaron Hernandez Mora
• Mary Hill Hart, LPC, NCC, CPCS
• Nikkia Hodge-Drain
• Terrence Holder Holder

• Case Manager/Care Coordinator in Hampton, GA
• Providers in Hampton, GA by specialty
• Case Manager/Care Coordinator in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2009; 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.