Denise L Henderson, LPC, SEP

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC-10270 Issued in AZ

Practice address

624 N Humphreys St Ste 1
Flagstaff, AZ 86001-3070

Phone

(928) 864-5024

NPI assigned

Jan 25, 2019

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

State licenses

Practice roles

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.

• Cultivate Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Flagstaff, AZ
  • NPI 1700383411
  NPD (past)

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

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1881158640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 N HUMPHREYS ST STE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013070",
            "telephone_number": "928-864-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 N HUMPHREYS ST STE 1",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013070",
            "telephone_number": "928-864-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DENISE",
        "middle_name": "L",
        "credential": "LPC, SEP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-25",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AZ",
            "license": "LPC-10270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alysa Patricia Held, AGACNP
• Maureen Hellenberg, FNP-C
• Kellene Helsel
• Sierra Dawn Helton, LM, CPM
• Kim A Hemingway
• Johnny (Blaine) Henderson, MD
• Bradley Joseph Henkenius, DDS
• Eric Henley, M.D.
• Aubrey Henrie, RBT
• Benjamin Henrie, CRNA

• Counselor in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; 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.