Diane G Henry, SUDP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP00001682 Issued in WA

Practice address

2821 Mission Hill Rd
Tulalip, WA 98271-9706

Phone

(360) 716-4306

Fax

(360) 716-0863

NPI assigned

Feb 4, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1580774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1679105001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2821 MISSION HILL RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719706",
            "telephone_number": "360-716-4306",
            "fax_number": "360-716-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2821 MISSION HILL RD",
            "city": "TULALIP",
            "state": "WA",
            "postal_code": "982719706",
            "telephone_number": "360-716-4306",
            "fax_number": "360-716-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "DIANE",
        "middle_name": "G",
        "credential": "SUDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP00001682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Allen Hartsock, CDP
• Monica Hauser, RN, CDE
• Aimee Hemingway
• David Harold Hennings, CDP, NCAC-I
• Shelly Noreen Hennings, CDP, NCAC-I
• Skyla Rae Alyce Henry, SUDPT
• Sheila Hereth-Holloway, RN60459792
• Rosemary Hill, MA, LMHC
• James Reynolds Hillaire Jr., CDP
• Susan Margaret Hillaire, CDP

• Addiction (Substance Use Disorder) Counselor in Tulalip, WA
• Providers in Tulalip, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2020; 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.