Active NPI
Victoria L Henry, LMHC
- Mental Health Counselor
- Winter Park, FL
National Provider Identifier
1669838595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15103
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH3507 | FL | MD | Mental Health Counselor |
| MH15103 | FL | MD | Mental Health Counselor |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH3507 | FL | |
| Mental Health Counselor | 101YM0800X | MH15103 | FL | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 074592700 | Medicaid | FL |
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.