Charlotte Elaine Henry, LMFT, BHRS

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

251B00000X Issued in OK

Practice address

11223 N Penn Ave Apt 806
3621 N. Kelly Ave.
Oklahoma City, OK 73120-7736

Phone

(405) 524-5525

NPI assigned

Sep 2, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Charlotte Elaine Blaylock Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283385600000",
    "number": "1760799472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11223 N PENN AVE APT 806",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207736",
            "telephone_number": "405-503-1791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11223 N PENN AVE APT 806",
            "address_2": "3621 N. KELLY AVE.",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207736",
            "telephone_number": "405-524-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "CHARLOTTE",
        "middle_name": "ELAINE",
        "credential": "LMFT, BHRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OK",
            "license": "251B00000X",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLOTTE",
            "last_name": "BLAYLOCK",
            "middle_name": "ELAINE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Corbin Henningsen, LCSW
• Lindsey Kay Henningsen, LPC
• Henry M. Asin
• Amanda Gail Henry, APRN-CNS
• Baylee Blain Henry, M.S. SLP
• Christopher Henry
• Christopher Lee Henry, M.D.
• Crystal L. Henry
• Desa Jenee' Henry
• Destiny Nijay Henry

• Case Management Agency in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Case Management Agency in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.