Henderson Behavioral Health, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2672 Issued in OR

Legal business name

HENDERSON BEHAVIORAL HEALTH, LLC

Practice address

328 S Central Ave
Medford, OR 97501-7274

Phone

(541) 821-9559

Fax

(541) 702-1236

NPI assigned

Oct 24, 2017

Organization subpart

No

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

Authorized official

Name

Jennifer M Henderson, MSNPI 1962675249

Title

Owner

Phone

(541) 821-9559

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Henderson Behavioral Health, LLC Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Family Behavioral Health Network, LLC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1538708953
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer M Henderson, MS, LPC

  • Mental Health Counselor
  • Medford, OR
  • NPI 1962675249
  NPD (past) Authorized official
• Alexis McKenna, MA, LMFT

  • Mental Health Counselor
  • Medford, OR
  • NPI 1396375481
  NPD (past)
• Emily Strong, MS

  • Mental Health Counselor
  • Medford, OR
  • NPI 1881154276
  NPD (past)

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508803200000",
    "number": "1962914432",
    "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",
            "fax_number": "541-702-1236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 S CENTRAL AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975017274",
            "telephone_number": "541-821-9559",
            "fax_number": "541-702-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-821-9559",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2672",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962675249",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Behavioral Health, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jamie Rae Helm
• Edward Allen Helman, M.D.
• Lawrence F Helton, DPM
• Hematology Oncology Associates, P.C.
• Hematology Oncology Pharmacy
• Jacob James Henderson
• Jennifer Henderson, DO
• Jennifer M Henderson, MS, LPC
• Kathryn Ann Henderson, D.O.
• Robyn M Henderson, L.M.T.

• 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 Oct 24, 2017; 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.