Jennifer Brooke Hennessey, ED.D., LPE, BCBA

Primary specialty

School PsychologistTaxonomy code 103TS0200X

License

99-5E Issued in AR

Practice address

611 Court St Ste 1
Conway, AR 72032-5417

Phone

(501) 940-4435

NPI assigned

Jul 29, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone ABA Services

  • Behavior Analyst
  • Conway, AR
  • NPI 1588932875
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1700017498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 TROXELL LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349311",
            "telephone_number": "501-513-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 COURT ST STE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325417",
            "telephone_number": "501-940-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNESSEY",
        "first_name": "JENNIFER",
        "middle_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "ED.D., LPE, BCBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-29",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "AR",
            "license": "99-5E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Betsy Hendricks, MD
• Hendrickson Eye Clinic PA
• Letha Mae Hendrickson
• Charity Hendrix, BCBA
• Faith Danielle Hendrixson, APRN-PMHNP
• Bailey E Henry
• Britany Henry
• Jennifer Henry
• Megan Henry
• Morgan Hopkins Henry, OT

• School Psychologist in Conway, AR
• Providers in Conway, AR by specialty
• School Psychologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.