Katie Nichol Henson, LMHC
Individual provider Active NPI Mental Health Counselor · The Villages, FL
NPI 1821748468 · NPPES record last updated Oct 20, 2025
Key facts
- NPI
- 1821748468
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH20493 (FL)
- Practice address
- 1400 N US Highway 441 Ste 553
The Villages, FL 32159-8987 - Phone
- (833) 769-3524
- Fax
- (352) 350-5297
- NPI assigned
- Mar 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Personal Recovery Network LLC
Grow Healthcare Group PA
Practice addresses (Care Compare)
17011 State Rd
50 Suite 301
Clermont, FL 34711-8203
Phone (352) 833-6300
66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240104001355 | FL | Practitioner - Mental Health Counselor | 5092166066 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current |
Accepting new patients |
| Personal Recovery Network LLC | Current |
Accepting new patients |
Locations
17011 State Road 50
Ste 301
Clermont, FL 34711
Phone (352) 833-6300
8570 Granite Ct
Ste 101
Fort Myers, FL 33908
Phone (239) 310-4646
260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514
250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH20493 | FL | Yes |
Addresses
Primary practice location
1400 N US Highway 441 Ste 553
The Villages, FL 32159-8987
Mailing address
1400 N US Highway 441 Ste 553
The Villages, FL 32159-8987
Phone (833) 769-3524
Other providers in The Villages, FL
- Heart of Florida Health Center, Inc
- Heart of Florida Health Center, Inc
- Heart of the Villages PLC
- Hekkld Florida Inc.
- Arlene A Henry
- Ronald K Herb
- Robert L Herman
- Jonathan E Hernandez
- Kelly J Herrbold
- Hannah Hess
All providers in The Villages, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.