Individual provider Active NPI

Tonia Denece Henderson, LMFT

  • Marriage & Family Therapist
  • Ontario, CA
National Provider Identifier
1740300086
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47116 Issued in CA
Practice address
2940 Inland Empire Blvd
Ontario, CA 91764-4898
Phone
(909) 458-1350
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2938-R NV
Marriage & Family Therapist 106H00000X 47116 CA Primary

Addresses

Primary practice location

2940 Inland Empire Blvd
Ontario, CA 91764-4898

Mailing address

2831 Saint Rose Pkwy Ste 221
Henderson, NV 89052-4840
Phone (702) 589-4871

Other practice location 1

2831 Saint Rose Pkwy Ste 221
Henderson, NV 89052-4840
Phone (702) 589-4871

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240207002938 NV Practitioner - Marriage and Family Therapist 4385087253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Behavioral Health Solutions LLCGroup PAC ID 4385998954, 60 clinicians

Practice addresses (Care Compare)

2200 Paseo Verde Pkwy
Suite 190
Henderson, NV 89052-2703
Phone (702) 589-4871

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
47116CAMDMarriage & Family Therapist
2938-RNVMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Next Level Psychiatry Arizona PLLC CurrentSince Jan 24, 2024 Accepting new patients
Behavioral Health Solutions LLC Marriage & Family Therapist CurrentSince Jan 24, 2024 Accepting new patients

Locations

2200 Paseo Verde Pkwy
Ste 190
Henderson, NV 89052
Phone (702) 483-5061

2831 Saint Rose Pkwy
Ste 221
Henderson, NV 89052
Phone (702) 279-2230

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1740300086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 SAINT ROSE PKWY STE 221",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524840",
            "telephone_number": "702-589-4871",
            "fax_number": "702-818-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 INLAND EMPIRE BLVD",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917644898",
            "telephone_number": "909-458-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2831 Saint Rose Pkwy Ste 221",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890524840",
            "country_code": "US",
            "telephone_number": "702-589-4871",
            "fax_number": "702-818-1001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "TONIA",
        "middle_name": "DENECE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2938-R",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ontario, CA

Sources for this page

Verify at the official NPI Registry.