Larry P Henderson, DMIN

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

License

P9005009 Issued in AR

Practice address

1100 Bob Courtway Dr
Suite 9
Conway, AR 72032-4766

Phone

(501) 328-5525

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1801019302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845",
            "city": "MAYFLOWER",
            "state": "AR",
            "postal_code": "721060845",
            "telephone_number": "501-328-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BOB COURTWAY DR",
            "address_2": "SUITE 9",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324766",
            "telephone_number": "501-328-5525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LARRY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "AR",
            "license": "P9005009",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AR",
            "license": "P9005009",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AR",
            "license": "M9712037",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chanda L Heinen
• Kristin K Heitman, CRNA
• Meghan Elizabeth Helpenstill, ST
• Francesca Manette Henderson, MHPP
• Jimi Henderson Sr., RECOVERY ASSISTANT
• Leslie Gayle Henderson
• Olivia Belle Henderson
• Betsy Hendricks, MD
• Hendrickson Eye Clinic PA
• Letha Mae Hendrickson

• Pastoral Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Pastoral Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.