Active NPI
Felicia M Henderson, LMFT, LPC
- Marriage & Family Therapist
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 201553
- Practice address
- 12959 Jupiter Rd Ste 254
Dallas, TX 75238-5250 - Phone
- (214) 221-0132
- Fax
- (214) 221-0242
- NPI assigned
- Sep 20, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PMH1445 | FL | |
| Professional Counselor | 101YP2500X | 63920 | TX | |
| Marriage & Family Therapist | 106H00000X | 47495 | CA | |
| Marriage & Family Therapist | 106H00000X | 201553 | TX | Primary |
Addresses
Primary practice location
12959 Jupiter Rd Ste 254
Dallas, TX 75238-5250
Mailing address
PO Box 765023
Dallas, TX 75376-5023
Phone (972) 224-1616
Other practice location 1
103 D St
Marysville, CA 95901-6017
Phone (530) 671-3427
Other practice location 2
422 E LaMar Blvd Ste 108
Arlington, TX 76011-3604
Phone (817) 751-7802
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PMH1445 | FL | MD | Mental Health Counselor |
| 201553 | TX | MD | Marriage & Family Therapist |
| 47495 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
| Progressive Behavioral Health, PLLC | Mental Health | Past | Accepting new patients |
| PHC of Buffalo Grove Clinical Psychology | Past | Accepting new patients |
Interoperability endpoints
- feliciahenderson@tdh.allscriptsdirect.net
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
-
dba LifeStance Health
- Mental Health Counselor
- Friendswood, TX
- NPI 1659567238
-
dba Portrait Health Centers
- Psychologist
- Vernon Hills, IL
- NPI 1235430612
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566518400000",
"number": "1942307277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 765023",
"city": "DALLAS",
"state": "TX",
"postal_code": "753765023",
"telephone_number": "972-224-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12959 JUPITER RD STE 254",
"city": "DALLAS",
"state": "TX",
"postal_code": "752385250",
"telephone_number": "214-221-0132",
"fax_number": "214-221-0242"
}
],
"practiceLocations": [
{
"address_1": "103 D St",
"address_purpose": "LOCATION",
"city": "Marysville",
"state": "CA",
"postal_code": "959016017",
"country_code": "US",
"telephone_number": "530-671-3427",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "422 E LaMar Blvd Ste 108",
"address_purpose": "LOCATION",
"city": "Arlington",
"state": "TX",
"postal_code": "760113604",
"country_code": "US",
"telephone_number": "817-751-7802",
"fax_number": "847-859-5885",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HENDERSON",
"first_name": "FELICIA",
"middle_name": "M",
"credential": "LMFT, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2019-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "PMH1445",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "63920",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "47495",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "TX",
"license": "201553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.