Individual provider Active NPI

Lisa Danielle Henderson, B.S., M.S., M.A.

  • Mental Health Counselor
  • Nashville, TN
National Provider Identifier
1922145432
Registry record updated Aug 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2891 Issued in TN
Practice address
331 54TH Ave N
Nashville, TN 37209-3317
Phone
(615) 293-7462
NPI assigned
Jan 31, 2007
Last updated
Aug 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2891 TN Primary

Addresses

Primary practice location

331 54TH Ave N
Nashville, TN 37209-3317

Mailing address

331 54TH Ave N
Nashville, TN 37209-3317
Phone (615) 293-7462

Other names 1

  • Lisa Danielle Barkley Former name

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)
Enrolled
Credentials
Bachelor of Science, Master of Arts, Master of Science

State licenses

LicenseStateTypeSpecialty
2891TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synchronous Health, Inc CurrentSince Jun 16, 2016 Accepting new patients
Comprehensive Health Centers, LLC Mental Health Past Accepting new patients
Wellassist, LLC Past Accepting new patients

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, 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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407369600000",
    "number": "1922145432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 54TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093317",
            "telephone_number": "615-293-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 54TH AVE N",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372093317",
            "telephone_number": "615-293-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "LISA",
        "middle_name": "DANIELLE",
        "credential": "B.S., M.S., M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "2891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "BARKLEY",
            "middle_name": "DANIELLE",
            "credential": "B.S.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.