Jerome Henry

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Practice address

5895 Saint Augustine Rd Ste 5
Jacksonville, FL 32207-8056

Phone

(904) 568-9228

NPI assigned

Oct 4, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The H Counseling & Consulting Agency, LLC

  • Pastoral Counselor
  • Jacksonville, FL
  • NPI 1669261533
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1740952019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14083 SUMMER BREEZE DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322188913",
            "telephone_number": "904-568-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5895 SAINT AUGUSTINE RD STE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078056",
            "telephone_number": "904-568-9228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JEROME",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "SimplePractice",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5895 Saint Augustine Rd Ste 5",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322078056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dawn Henry
• Dwain J Henry Jr.
• Fadra Henry, RPH.
• Hannah Louise Henry, PA-C
• Janine Henry
• Joy Marie Henry, D.C.
• Kelsey Rhae Williams Henry, MD
• Magdala Henry
• Matthew Jackson Henry, DDS
• Melisa Henry, MSN, APRN, PMHNP-BC

• Pastoral Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Pastoral Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; 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.