Denise Henderson, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

43409 Issued in CA

Practice address

901 Campisi Way Ste 350
Campbell, CA 95008-2349

Phone

(408) 838-1955

NPI assigned

Nov 22, 2021

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1831856061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 CAMPISI WAY STE 350",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082349",
            "telephone_number": "408-838-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CAMPISI WAY STE 350",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082349",
            "telephone_number": "408-838-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DENISE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "43409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Campbell",
            "affiliation": "N",
            "endpointDescription": "Business Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "901 Campisi Way Ste 350",
            "city": "Campbell",
            "state": "CA",
            "country_code": "US",
            "postal_code": "950082349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Hai He
• Lingmin He, M.D.
• Weina He
• Simon Kevin Heerdegen
• Heinz J. Klein, D.M.D. & Linda R. Kono, D.M.D., Inc.
• Janet M Henderson, MA
• Kristina Koppanyi Henderson
• Leidy Carolina Henry
• Diana Ruby Hernandez Barba
• Lidia Mariela Hernandez Lazaro

• Professional Counselor in Campbell, CA
• Providers in Campbell, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.