Eboneika D. Henderson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

9186 Issued in SC

Practice address

4464 Devine St Ste M
Columbia, SC 29205-3605

Phone

(803) 714-3935

Fax

(803) 620-1044

NPI assigned

Sep 15, 2023

Last updated

Jan 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ebbie Henderson Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Progress Over Perfection Behavioral Health Services

  dba Progress Over Perfection BHS

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Columbia, SC
  • NPI 1033999719
  NPD Authorized official

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1942088661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 DEVINE ST",
            "address_2": "#1014 STE M",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29205",
            "telephone_number": "803-714-3935",
            "fax_number": "803-620-1044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4464 DEVINE ST STE M",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292053605",
            "telephone_number": "803-714-3935",
            "fax_number": "803-620-1044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "EBONEIKA",
        "middle_name": "D.",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "9186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EBBIE",
            "last_name": "HENDERSON",
            "credential": "LPC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lamekqua Hemingway, RT
• Nina Hemingway, RBT
• Jameka Hemming
• Jane R. Hemphill, LISW-CP
• Denijah Henderson
• Frampton W Henderson Jr., MD
• James Alan Henderson, MD
• Kitty Caughman Henderson, LPC
• Loralye Henderson
• Nathan Henderson, M.D.

• Mental Health Counselor in Columbia, SC
• Providers in Columbia, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.