Individual provider Active NPI

Victoria L Henry, LMHC

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1669838595
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15103 Issued in FL
Practice address
1685 Lee Rd Ste 100
Winter Park, FL 32789-2214
Phone
(407) 896-8097
Fax
(407) 898-8328
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
IMH3507FLMDMental Health Counselor
MH15103FLMDMental Health Counselor

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH3507 FL
Mental Health Counselor 101YM0800X MH15103 FL Primary

Addresses

NPPES NPI Registry

Primary practice location

1685 Lee Rd Ste 100
Winter Park, FL 32789-2214

Mailing address

1685 Lee Rd Ste 100
Winter Park, FL 32789-2214
Phone (407) 896-8097

Other practice location 1

801 Douglas Ave
Suite 208
Altamonte Springs, FL 32714-5206
Phone (321) 356-5338

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
074592700MedicaidFL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 26, 2019.

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1669838595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 LEE RD STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892214",
            "telephone_number": "407-896-8097",
            "fax_number": "407-898-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 LEE RD STE 100",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327892214",
            "telephone_number": "407-896-8097",
            "fax_number": "407-898-8328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Douglas Ave",
            "address_2": "Suite 208",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327145206",
            "country_code": "US",
            "telephone_number": "321-356-5338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "VICTORIA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH3507",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074592700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; 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.