Active NPI
Crystal Terese Henson, MA
- Clinical Psychologist
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 268285
- Practice address
- 6000 Poplar Ave
Memphis, TN 38119-3981 - Phone
- (574) 546-1900
- Fax
- (574) 546-1999
- NPI assigned
- Mar 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 268285 | KY | Primary |
| Clinical Psychologist | 103TC0700X | 3824 | TN |
Addresses
Primary practice location
6000 Poplar Ave
Memphis, TN 38119-3981
Mailing address
1735 Springfield Hwy
Goodlettsville, TN 37072-9191
Phone (615) 310-6210
Other practice location 1
2410 White Ave
Nashville, TN 37204-2235
Phone (615) 310-6210
Other practice location 2
312 S 4th St Ste 700
Louisville, KY 40202-3046
Phone (574) 546-1900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
131 Saundersville Rd
Suite 300
Hendersonville, TN 37075-8903
Phone (888) 374-5066
5030 Carothers Pkwy
Suite 120
Franklin, TN 37067-6030
Phone (888) 374-5066
6000 Poplar Ave
Suite 250
Memphis, TN 38119-3974
Phone (574) 546-1900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3824 | TN | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, LLC | Current | Accepting new patients | |
| Family Care Center, LLC | Mental Health | Current | Accepting new patients |
| Guidestar Eldercare - TN, P.C. | Mental Health | Current | Accepting new patients |
Locations
220 Highway 76
Clarksville, TN 37043
Phone (931) 552-0181
5030 Carothers Pkwy
Ste 120
Franklin, TN 37067
Phone (615) 534-2176
6000 Poplar Ave
Memphis, TN 38119
Phone (901) 292-7020
6000 Poplar Ave
Ste 250
Memphis, TN 38119
Phone (901) 451-9577
Interoperability endpoints
- https://api.platform.athenahealth.com/15315/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Franklin, TN
- NPI 1124756085
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1922136001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 SPRINGFIELD HWY",
"city": "GOODLETTSVILLE",
"state": "TN",
"postal_code": "370729191",
"telephone_number": "615-310-6210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 POPLAR AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381193981",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999"
}
],
"practiceLocations": [
{
"address_1": "2410 White Ave",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372042235",
"country_code": "US",
"telephone_number": "615-310-6210",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "312 S 4th St Ste 700",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402023046",
"country_code": "US",
"telephone_number": "574-546-1900",
"fax_number": "574-546-1999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENSON",
"first_name": "CRYSTAL",
"middle_name": "TERESE",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-01",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KY",
"license": "268285",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TN",
"license": "3824",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; 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.