Luther J Hendersen, CAC III

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

4741 Issued in CO

Practice address

5698 S Hwy 85
Suite 104
Colorado Springs, CO 80911-1465

Phone

(719) 390-4652

Fax

(719) 227-2119

NPI assigned

Dec 11, 2008

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

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.

• Bridge to Awareness Counseling Center

  • Addiction (Substance Use Disorder) Counselor
  • Colorado Springs, CO
  • NPI 1043455769
  NPD (past)

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1760627269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5698 S HWY 85",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111465",
            "telephone_number": "719-390-4652",
            "fax_number": "719-227-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5698 S HWY 85",
            "address_2": "SUITE 104",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809111465",
            "telephone_number": "719-390-4652",
            "fax_number": "719-227-2119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSEN",
        "first_name": "LUTHER",
        "middle_name": "J",
        "credential": "CAC III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "4741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jairus Hemphill
• Chase Hemsley, CRNA
• Michael J. Hemsworth, MD
• Roslyn Hence, CASE MANAGER
• Claire Hendee
• Rebecca Marie Hendershott, LCSW
• Henderson Consulting & Eap Services
• Aaron James Henderson, LPC, NCC
• Anica Henderson
• Chance Jack Henderson, M.D.

• Addiction (Substance Use Disorder) Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Addiction (Substance Use Disorder) Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.