Tonya Henry, SUD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

151647 Issued in CA

Practice address

1889 W Redlands Blvd
Redlands, CA 92373-3119

Phone

(909) 501-5167

Fax

(909) 801-8133

NPI assigned

Jan 28, 2014

Sex

Female

Sole proprietor

Yes

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.

• Aegis Treatment Centers, LLC

  • Methadone Clinic
  • Banning, CA
  • NPI 1376293407
  NPD (past)

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613260800000",
    "number": "1790108769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17965 RAYMOND CT",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923362340",
            "telephone_number": "323-802-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 W REDLANDS BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733119",
            "telephone_number": "909-501-5167",
            "fax_number": "909-801-8133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11900 Avalon Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900612866",
            "country_code": "US",
            "telephone_number": "323-242-0500",
            "fax_number": "323-242-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TONYA",
        "name_prefix": "Mrs.",
        "credential": "SUD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2021-02-14",
        "certification_date": "2021-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "151647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Chantelle Henning, OTR/L
• Jacquelyn Pauline Henry, APCC
• Katie Ellen Henry
• Ryan Kirk Henry
• Sunyani Henry, PMHNP-BC
• Kelsey Marie Hensley, ACSW, MSW, CATC IV
• Brandy Renee Henson, PA-C
• Agustin Hernandez Salazar, RADT
• Barbara Ann Hernandez, LMFT
• Brenda Hernandez

• Addiction (Substance Use Disorder) Counselor in Redlands, CA
• Providers in Redlands, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.