James Keeton Henderson, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0739 Issued in MS

Practice address

359 Towne Center Blvd
Suite 601
Ridgeland, MS 39157-4862

Phone

(601) 572-8686

Fax

(601) 572-8685

NPI assigned

Jan 31, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Henderson Clinic LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ridgeland, MS
  • NPI 1275726614
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952448524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "359 TOWNE CENTER BLVD",
            "address_2": "SUITE 601",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574862",
            "telephone_number": "601-572-8686",
            "fax_number": "601-572-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "359 TOWNE CENTER BLVD",
            "address_2": "SUITE 601",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574862",
            "telephone_number": "601-572-8686",
            "fax_number": "601-572-8685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JAMES",
        "middle_name": "KEETON",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "0739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Kerr Heinsz, SLP
• Heitzmann Dentistry (Magnolia family dental care)
• Casey Brian Heitzmann, DMD
• Emily Ann Heitzmann, D.M.D.
• Cornelius Henderson, DPT
• Branden Henry, PHD.M.A., LPC, LMFTA
• Mark Angelo Henry Sr., LPTA
• John L Henson, DMD
• Stevan Kai Henson, PA-C
• Valencia Benton Henson, LPTA

• Professional Counselor in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Professional Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.