Individual provider Active NPI

Chanelle Henderson

  • Professional Counselor
  • Roanoke, VA
National Provider Identifier
1982004354
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
422 Elm Ave SW
Roanoke, VA 24016-3920
Phone
(540) 701-3704
NPI assigned
Sep 3, 2014
Sex
Female
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
A Tree Planted, PLLC Current Accepting new patients
A Tree Planted, Inc Professional Current
since Oct 30, 2022
Accepting new patients

Locations

422 Elm Ave SW
Roanoke, VA 24016
Phone (540) 344-4600

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

NPPES NPI Registry

Primary practice location

422 Elm Ave SW
Roanoke, VA 24016-3920

Mailing address

2107 Westover Ave SW
Roanoke, VA 24015-2215
Phone (919) 247-0081

Other practice location 1

1321 Wilkinson St
Orlando, FL 32803-1140
Phone (407) 270-0433

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 25, 2022.

{
    "created_epoch": "1409702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666656000000",
    "number": "1982004354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2107 WESTOVER AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240152215",
            "telephone_number": "919-247-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 ELM AVE SW",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163920",
            "telephone_number": "540-701-3704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1321 Wilkinson St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328031140",
            "country_code": "US",
            "telephone_number": "407-270-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "CHANELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-03",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.