Individual provider Active NPI

Amanda Leigh Henry, LLPC

  • Professional Counselor
  • Adrian, MI
National Provider Identifier
1992573539
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
6451023066 Issued in MI
Practice address
204 E Church St Ste 100
Adrian, MI 49221-2953
Phone
(734) 265-0043
Fax
(855) 923-0905
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6451023066 MI
Professional Counselor 101YP2500X 6451023066 MI Primary

Addresses

Primary practice location

204 E Church St Ste 100
Adrian, MI 49221-2953

Mailing address

204 E Church St Ste 100
Adrian, MI 49221-2953
Phone (734) 265-0043

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

State licenses

LicenseStateTypeSpecialty
6451023066MIMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Counseling, LLC Professional CurrentSince Dec 17, 2023 Accepting new patients

Locations

3124 N Adrian Hwy
Ste 300
Adrian, MI 49221
Phone (734) 265-0043

204 E Church St
Ste 100
Adrian, MI 49221
Phone (734) 265-0043

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1992573539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 E CHURCH ST STE 100",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212953",
            "telephone_number": "734-265-0043",
            "fax_number": "855-923-0905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E CHURCH ST STE 100",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492212953",
            "telephone_number": "734-265-0043",
            "fax_number": "855-923-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "LLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451023066",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451023066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; 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.