Denese Walters Henderson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001208 Issued in GA

Practice address

3312 N Oak Street Ext BLDG D
Valdosta, GA 31605-1066

Phone

(229) 244-2030

Fax

(229) 244-2038

NPI assigned

Aug 19, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Denese Walers Former name

Medicare fee-for-service enrollment

Enrolled in GA

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.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ar Psychiatric and Counseling Center LLCGroup PAC ID 9335326941, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Ar Psychiatric & Counseling Center LLC

  • Psychiatry Physician
  • Valdosta, GA
  • NPI 1205126943
  Medicare reassignment Care Compare group NPD
• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  GA

  Medicare reassignment NPD
• Right Fit Therapy & Counselling

  • Marriage & Family Therapist
  • Valdosta, GA
  • NPI 1841818317
  NPD Authorized official

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1891075081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3312 N OAK STREET EXT BLDG D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051066",
            "telephone_number": "229-244-2030",
            "fax_number": "229-244-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3312 N OAK STREET EXT BLDG D",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316051066",
            "telephone_number": "229-244-2030",
            "fax_number": "229-244-2038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 N Oak Street Ext Ste B",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316025910",
            "country_code": "US",
            "telephone_number": "229-671-6100 x6170",
            "fax_number": "229-671-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "DENESE",
        "middle_name": "WALTERS",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-19",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001208",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000196",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENESE",
            "last_name": "WALERS",
            "credential": "MFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hearing Connection LLC
• Heart of Faith Carrier LLC
• Ashley Heath
• Heaven of Hope Foundation Corporation
• Heaven Sent Homecare Agency
• Shelby Henderson, PCET
• Derek C Hendley
• Lauren Elizabeth Hendley
• Kali Valeria Hendricks, LAMFT
• Joseph E Hendrix, P.A.

• Marriage & Family Therapist in Valdosta, GA
• Providers in Valdosta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.