Jessica Leann Henson, LPC-CANDIDATE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

504 W Atlanta St
Broken Arrow, OK 74012-7004

Phone

(919) 861-5662

NPI assigned

Feb 19, 2024

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Brighter Dimensions, LLC

  • Community/Behavioral Health Agency
  • Broken Arrow, OK
  • NPI 1881012409
  NPD

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708300800000",
    "number": "1871358895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 W ATLANTA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 W ATLANTA ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740127004",
            "telephone_number": "919-861-5662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENSON",
        "first_name": "JESSICA",
        "middle_name": "LEANN",
        "credential": "LPC-CANDIDATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany M Henley, O.T.A
• Tabitha Lynette Henninger
• Aaron Michael Henningsen, LMT
• Guy Henrion
• Crystal Jones Hensley, PA-C
• Madison B Henson
• Maleevan Her
• Alfonso Hernandez Jr., OD
• Arturo Jesus Hernandez
• Jaqueline Hernandez, CCC-SLP

• Mental Health Counselor in Broken Arrow, OK
• Providers in Broken Arrow, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.