Individual provider Active NPI

Crystal Terese Henson, MA

  • Clinical Psychologist
  • Memphis, TN
National Provider Identifier
1922136001
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
268285 Issued in KY
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

Updated by the provider on Dec 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220304000354 TN Practitioner - Clinical Psychologist 9537553714 Reassigns benefits to 2 organizations

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
Family Care Center LLCGroup PAC ID 5991064420, 703 clinicians
Guidestar Eldercare - TN, PCGroup PAC ID 8527413517, 20 clinicians

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

LicenseStateTypeSpecialty
3824TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Care Center, LLC CurrentSince Feb 2, 2026 Accepting new patients
Family Care Center, LLC Mental Health CurrentSince Feb 2, 2026 Accepting new patients
Guidestar Eldercare - TN, P.C. Mental Health CurrentSince Dec 19, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.