Active NPI
Janet Anselmo-Henson
- Addiction (Substance Use Disorder) Counselor
- Carrollton, TX
National Provider Identifier
1669909636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 5133
- Practice address
- 2418 Marsh LN Ste 104
Carrollton, TX 75006-3342 - Phone
- (682) 241-2564
- Fax
- (682) 241-2564
- NPI assigned
- May 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 5133 | TX | Primary |
Addresses
Primary practice location
2418 Marsh LN Ste 104
Carrollton, TX 75006-3342
Mailing address
4848 Pemberton LN
The Colony, TX 75056-2066
Phone (682) 241-2564
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 |
|---|---|---|---|
| 5133 | TX | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495324800000",
"number": "1669909636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4848 PEMBERTON LN",
"city": "THE COLONY",
"state": "TX",
"postal_code": "750562066",
"telephone_number": "682-241-2564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2418 MARSH LN STE 104",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750063342",
"telephone_number": "682-241-2564",
"fax_number": "682-241-2564"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANSELMO-HENSON",
"first_name": "JANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-21",
"last_updated": "2017-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "5133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.