Active NPI
Michelle Christine Henderson, M.A.
- Mental Health Counselor
- Bothell, WA
National Provider Identifier
1730580903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 18221 102ND Ave NE
Bothell, WA 98011-3466 - Phone
- (425) 375-1704
- NPI assigned
- Sep 8, 2014
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
18221 102ND Ave NE
Bothell, WA 98011-3466
Mailing address
18221 102ND Ave NE
Bothell, WA 98011-3466
Phone (425) 375-1704
Other practice location 1
4807 196th St SW
Suite 220
Lynnwood, WA 98036-6430
Phone (425) 835-5850
Other names 1
- Ms. Michelle Christine Terry
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562371200000",
"number": "1730580903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18221 102ND AVE NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113466",
"telephone_number": "425-375-1704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18221 102ND AVE NE",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980113466",
"telephone_number": "425-375-1704"
}
],
"practiceLocations": [
{
"address_1": "4807 196th St SW",
"address_2": "Suite 220",
"address_purpose": "LOCATION",
"city": "Lynnwood",
"state": "WA",
"postal_code": "980366430",
"country_code": "US",
"telephone_number": "425-835-5850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "MICHELLE",
"middle_name": "CHRISTINE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-08",
"last_updated": "2019-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "TERRY",
"middle_name": "CHRISTINE",
"prefix": "MS.",
"credential": "M.A.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.