Active NPI
Don Henderson
- Mental Health Counselor
- Osceola, IA
National Provider Identifier
1861815276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 001749
- Practice address
- 131 W Washington St
Osceola, IA 50213 - Phone
- (641) 446-2383
- NPI assigned
- Jan 22, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 001749 | IA | Primary |
Addresses
Primary practice location
131 W Washington St
Osceola, IA 50213
Mailing address
302 NE 14TH St
Leon, IA 50144-1206
Phone (641) 446-2383
Other practice location 1
131 W Washington St
Osceola, IA 50213
Phone (641) 342-9000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001749 | IA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574035200000",
"number": "1861815276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 NE 14TH ST",
"city": "LEON",
"state": "IA",
"postal_code": "501441206",
"telephone_number": "641-446-2383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "131 W WASHINGTON ST",
"city": "OSCEOLA",
"state": "IA",
"postal_code": "50213",
"telephone_number": "641-446-2383"
}
],
"practiceLocations": [
{
"address_1": "131 W Washington St",
"address_purpose": "LOCATION",
"city": "Osceola",
"state": "IA",
"postal_code": "50213",
"country_code": "US",
"telephone_number": "641-342-9000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "DON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-22",
"last_updated": "2019-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IA",
"license": "001749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Osceola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.