Joni Rae Henry, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

4545 Issued in ND

Practice address

1300 Hospital Loop
Belcourt, ND 58316-0160

Phone

(701) 477-6111

Fax

(701) 477-2500

NPI assigned

Dec 12, 2013

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1962833129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "QNBCHCF",
            "address_2": "1300 HOSPITAL LOOP",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HOSPITAL LOOP",
            "city": "BELCOURT",
            "state": "ND",
            "postal_code": "583160160",
            "telephone_number": "701-477-6111",
            "fax_number": "701-477-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "JONI",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2021-08-17",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ND",
            "license": "4545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky J Gustafson, RN
• Leslie Jo Harris, PT
• Lauren M Hatfield, PHARMD
• Ruth Anita Hawkins, DDS
• Hodan Abdirahman Haybe
• Kimberly A Hiatt, CRT
• Rose Maria Hole, RN
• Laray Sue Holiman, CNM, WHNP-BC
• Lane M Houle
• Douglas D Jackson, DDS

• All providers in Belcourt, ND
• Clinical Social Worker in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.