Individual provider Active NPI

Felicia M Henderson, LMFT, LPC

  • Marriage & Family Therapist
  • Dallas, TX
National Provider Identifier
1942307277
Registry record updated Aug 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
201553 Issued in TX
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

Updated by the provider on Aug 23, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PMH1445FLMDMental Health Counselor
201553TXMDMarriage & Family Therapist
47495CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Progressive Behavioral Health, PLLC Mental Health PastSince May 5, 2021 Accepting new patients
PHC of Buffalo Grove Clinical Psychology PastSince Apr 1, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.