Individual provider Active NPI

Kenisha Henderson, LCSW

  • Clinical Social Worker
  • Murphy, TX
National Provider Identifier
1891247672
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
67712 Issued in TX
Practice address
416 Village Dr
Murphy, TX 75094-4647
Phone
(469) 334-3080
NPI assigned
Oct 27, 2016
Last updated
Oct 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227016133 IL
Clinical Social Worker 1041C0700X 67712 TX Primary
Massage Therapist 225700000X MT131288 TX

Addresses

Primary practice location

416 Village Dr
Murphy, TX 75094-4647

Mailing address

5473 Blair Rd Ste 100
Dallas, TX 75231-4227
Phone (469) 334-3080

Other practice location 1

805 W White St
Anna, TX 75409-2614
Phone (469) 334-3080

Other practice location 2

123 Princeton Dr
Princeton, TX 75407
Phone (469) 334-3080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
67712TXMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
227016133ILMDMassage Therapist
MT131288TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Health Evaluation and Research Unlimited LLC PastSince May 16, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793145600000",
    "number": "1891247672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5473 BLAIR RD STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314227",
            "telephone_number": "469-334-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 VILLAGE DR",
            "city": "MURPHY",
            "state": "TX",
            "postal_code": "750944647",
            "telephone_number": "469-334-3080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 W White St",
            "address_purpose": "LOCATION",
            "city": "Anna",
            "state": "TX",
            "postal_code": "754092614",
            "country_code": "US",
            "telephone_number": "469-334-3080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Princeton Dr",
            "address_purpose": "LOCATION",
            "city": "Princeton",
            "state": "TX",
            "postal_code": "75407",
            "country_code": "US",
            "telephone_number": "469-334-3080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "KENISHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227016133",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "67712",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "MT131288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murphy, TX

Sources for this page

Verify at the official NPI Registry.