Active NPI
Mark James Henningsen, L.P.C.
- Professional Counselor
- Lakewood, CO
National Provider Identifier
1891849774
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Mar 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 573
- Practice address
- 2201 Kipling St
Suite G-2
Lakewood, CO 80215-1580 - Phone
- (303) 238-2702
- Fax
- (303) 238-0342
- NPI assigned
- Jan 22, 2007
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 573 | CO | Primary |
Addresses
Primary practice location
2201 Kipling St
Suite G-2
Lakewood, CO 80215-1580
Mailing address
2940 Simms Drive
Lakewood, CO 80215
Phone (303) 237-2355
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 573 | CO | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891849774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2940 SIMMS DRIVE",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "80215",
"telephone_number": "303-237-2355",
"fax_number": "303-238-0342"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2201 KIPLING ST",
"address_2": "SUITE G-2",
"city": "LAKEWOOD",
"state": "CO",
"postal_code": "802151580",
"telephone_number": "303-238-2702",
"fax_number": "303-238-0342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENNINGSEN",
"first_name": "MARK",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "L.P.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "573",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.