Active NPI
Lori Lynn Henderson, LMFT
- Marriage & Family Therapist
- Poway, CA
National Provider Identifier
1720424930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC42269
- Practice address
- 15525 Pomerado Rd Ste A7
Poway, CA 92064-2425 - Phone
- (858) 279-1223
- Fax
- (858) 467-7161
- NPI assigned
- May 14, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC42269 | CA | Primary |
Addresses
Primary practice location
15525 Pomerado Rd Ste A7
Poway, CA 92064-2425
Mailing address
4550 Kearny Villa Rd Ste 116
San Diego, CA 92123-1583
Phone (858) 279-1223
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 |
|---|---|---|---|
| MFC42269 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368489600000",
"number": "1720424930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4550 KEARNY VILLA RD STE 116",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231583",
"telephone_number": "858-279-1223",
"fax_number": "858-467-7161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15525 POMERADO RD STE A7",
"city": "POWAY",
"state": "CA",
"postal_code": "920642425",
"telephone_number": "858-279-1223",
"fax_number": "858-467-7161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "LORI",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-05-14",
"last_updated": "2013-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC42269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.