Active NPI
Marquise Marie Henderson
- Behavior Technician
- Reynoldsburg, OH
National Provider Identifier
1962103804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- Practice address
- 6411 Lanercost Rd
Reynoldsburg, OH 43068-3515 - Phone
- (614) 599-6744
- NPI assigned
- Mar 16, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Behavior Technician | 106S00000X | OH | ||
| Behavior Technician | 106S00000X | Primary |
Addresses
Primary practice location
6411 Lanercost Rd
Reynoldsburg, OH 43068-3515
Mailing address
6411 Lanercost Rd
Reynoldsburg, OH 43068-3515
Phone (614) 599-6744
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jetlife Wellness Center | Current | Accepting new patients | |
| Jetlife Wellness Center | Current | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Reynoldsburg, OH
- NPI 1508724121
-
- Community/Behavioral Health Agency
- Reynoldsburg, OH
- NPI 1528924297
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1962103804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6411 LANERCOST RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430683515",
"telephone_number": "614-599-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6411 LANERCOST RD",
"city": "REYNOLDSBURG",
"state": "OH",
"postal_code": "430683515",
"telephone_number": "614-599-6744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HENDERSON",
"first_name": "MARQUISE",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-03-16",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "OH",
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reynoldsburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.