Jennifer M Henderson, MS, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2672 Issued in OR

Practice address

328 S Central Ave Ste 210
Medford, OR 97501-7274

Phone

(541) 821-9559

NPI assigned

Apr 8, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jennifer M Jahnke Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Family Behavioral Health Network, LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1538708953
  NPD Authorized official
• Henderson Behavioral Health, LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1962914432
  NPD (past) Authorized official

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1962675249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8097",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975010997",
            "telephone_number": "541-821-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S CENTRAL AVE STE 210",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017274",
            "telephone_number": "541-821-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JENNIFER",
        "middle_name": "M",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "JAHNKE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hematology Oncology Associates, P.C.
• Hematology Oncology Pharmacy
• Henderson Behavioral Health, LLC
• Jacob James Henderson
• Jennifer Henderson, DO
• Kathryn Ann Henderson, D.O.
• Robyn M Henderson, L.M.T.
• Shannon Henderson, NP
• Sara Kay Hendricksom, PHARM D
• Kristi Noel Hennan, M.D.

• Mental Health Counselor in Medford, OR
• Providers in Medford, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.