Janis W Henderson
Individual provider Active NPI Mental Health Counselor · South Glastonbury, CT
NPI 1649487299 · NPPES record last updated Jul 16, 2007
Key facts
- NPI
- 1649487299
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 001137 (CT)
- Practice address
- 16 High St
South Glastonbury, CT 06033-9998 - Phone
- (860) 659-0183
- NPI assigned
- May 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001137 | CT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001137 | CT | Yes |
Addresses
Primary practice location
16 High St
South Glastonbury, CT 06033-9998
Mailing address
244 Wood Pond Rd
Glastonbury, CT 06033-3704
Phone (860) 633-6311
Other providers in South Glastonbury, CT
- Jeanne Nicole Farrell
- Meryl Marci Fields
- Alicia Folland-Tillinghast
- Mary-Caryl Goff
- Jacki Goldstein
- Robert S. Henderson
- Steven F Hinchey
- Melissa Ann Hodgson
- Jenifer L Gietek LCSW LLC
- Anna Katarzyna Klosinska-Salazar
All providers in South Glastonbury, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.