KENNETH RAY HENDERSON NPI 1639040397

NPI Information

  • NPI: 1639040397
  • Provider Name: KENNETH RAY HENDERSON
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Individual
  • Address: 13115 WHITTINGTON DR APT 9310
    HOUSTON, TX
    ZIP 77077
  • Phone: (804) 335-7549

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NPI Details

Kenneth Ray Henderson is a community behavioral health in Houston, TX. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. Kenneth Ray Henderson NPI is 1639040397. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13115 WHITTINGTON DR APT 9310
HOUSTON, TX
ZIP 77077-690
Phone: (804) 335-7549

The enumeration date for this NPI number is 9/16/2025 and was last updated on 9/16/2025.

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
1261QM0850XClinic/CenterAdult Mental HealthTEXASNo
2101YM0800XCounselorMental HealthTEXASNo
3261QM0855XClinic/CenterAdolescent and Children Mental HealthTEXASNo
4251S00000XCommunity/Behavioral HealthTEXASYes

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: 3/30/2025

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