JEAN MARIE HENDERSON LCMHC NPI 1073522579

NPI Information

NPI: 1073522579
Provider Name: JEAN MARIE HENDERSON, LCMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
100 LEDGEHILL RD
BENNINGTON, VT
ZIP 05201
Phone: (802) 442-5491
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Jean Marie Henderson, LCMHC is a mental health counselor in Bennington, VT with 26 years of experience. Jean Marie Henderson, LCMHC NPI is 1073522579. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 LEDGEHILL RD
BENNINGTON, VT
ZIP 05201-273
Phone: (802) 442-5491
Fax: (802) 442-4910

The NPI 1073522579 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/5/2006 and was last updated on 10/2/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		068-0000538	VERMONT	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	068-0000538	VERMONT	No
3	101YM0800X	Counselor	Mental Health	068-0000538	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2276538	OTHER	VERMONT	CIGNA
2	68191	OTHER		BLUE CROSS
3	1010781	MEDICAID	VERMONT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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