Active NPI
Marsha Henderson, LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1952691784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4902 Eisenhower Blvd
Suite 315
Tampa, FL 33634-6310 - Phone
- (813) 290-8560
- Fax
- (813) 435-2033
- NPI assigned
- Apr 13, 2011
- Last updated
- May 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | TN | ||
| Mental Health Counselor | 101YM0800X | NU | Primary | |
| Professional Counselor | 101YP2500X | VA | ||
| Professional Counselor | 101YP2500X | SC | ||
| Professional Counselor | 101YP2500X | GA | ||
| Professional Counselor | 101YP2500X | FL |
Addresses
Primary practice location
4902 Eisenhower Blvd
Suite 315
Tampa, FL 33634-6310
Mailing address
4902 Eisenhower Blvd
Suite 315
Tampa, FL 33634-6310
Phone (813) 290-8560
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684713600000",
"number": "1952691784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 EISENHOWER BLVD",
"address_2": "SUITE 315",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346310",
"telephone_number": "813-290-8560",
"fax_number": "813-435-2033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 EISENHOWER BLVD",
"address_2": "SUITE 315",
"city": "TAMPA",
"state": "FL",
"postal_code": "336346310",
"telephone_number": "813-290-8560",
"fax_number": "813-435-2033"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MARSHA",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-04-13",
"last_updated": "2023-05-22",
"certification_date": "2023-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "SC",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.