Laurdes Blanca Henderson, MS, LCMHCA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A18776 Issued in NC

Practice address

1909 J N Pease PL Ste 101
Charlotte, NC 28262-4509

Phone

(980) 313-3020

Fax

(704) 980-8023

NPI assigned

Jun 12, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Laurdes Blanca Henderson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687737600000",
    "number": "1689358699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 TIGERTON LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282691447",
            "telephone_number": "704-490-5504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 J N PEASE PL STE 101",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624509",
            "telephone_number": "980-313-3020",
            "fax_number": "704-980-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LAURDES",
        "middle_name": "BLANCA",
        "credential": "MS, LCMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A18776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURDES",
            "last_name": "HENDERSON",
            "middle_name": "BLANCA",
            "credential": "LCMHCA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jasona Henderson
• Kathryn Henderson, FNP
• Kenya Henderson
• Kimberly Ann Henderson, MA
• Kristen Michelle Henderson
• Melissa Y Henderson
• Olivia Marie Henderson
• Regina L. Henderson, D.D.S
• Sydnee Jaye Henderson
• William James Henderson, OD

• Mental Health Counselor in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; 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.