Individual provider Active NPI

Catherine Ann Henricks, MS, LAC, LCDC

  • Counselor
  • Englewood, CO
National Provider Identifier
1982114997
Registry record updated Oct 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
ACD.0000909 Issued in CO
Practice address
10200 E Dry Creek Rd Unit 5-202
Englewood, CO 80112-1651
Phone
(720) 908-0911
NPI assigned
Oct 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X ACD.0000909 CO Primary

Addresses

Primary practice location

10200 E Dry Creek Rd Unit 5-202
Englewood, CO 80112-1651

Mailing address

10200 E Dry Creek Rd Unit 5-202
Englewood, CO 80112-1651
Phone (720) 908-0911

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ACD.0000909COMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1507075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507075200000",
    "number": "1982114997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10200 E DRY CREEK RD UNIT 5-202",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801121651",
            "telephone_number": "720-908-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10200 E DRY CREEK RD UNIT 5-202",
            "city": "ENGLEWOOD",
            "state": "CO",
            "postal_code": "801121651",
            "telephone_number": "720-908-0911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRICKS",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "credential": "MS, LAC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-04",
        "last_updated": "2017-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CO",
            "license": "ACD.0000909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.