Active NPIIndividual provider

Johnastasia L Henderson, MS

Counselor, Mental Health in Hyde Park, Massachusetts

NPI Number1003452640
Practice location
1234 Hyde Park Ave, Hyde Park, MA 02136-2819
Fax
—
Last updated
April 14, 2025

Johnastasia Lillian Henderson is a Counselor, Mental Health based in Hyde Park, MA. Johnastasia Lillian Henderson practices in Hyde Park, MA and has the professional credentials of MS. The NPI Number for Johnastasia Lillian Henderson is 1003452640. The current practice location address for Johnastasia Lillian Henderson is 1234 Hyde Park Ave, Hyde Park, MA 02136-2819 and can be reached out via phone at 888-763-7272.

Provider Profile Details

NPI Number
1003452640
Provider Name
Johnastasia Lillian Henderson
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
1234 Hyde Park Ave, Hyde Park, MA 02136-2819
Phone Number
888-763-7272
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
November 19, 2019
Last Update Date
April 14, 2025
Certification Date
April 14, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1234 Hyde Park Ave
Hyde Park, MA 02136-2819
Zip
02136-2819
Phone Number
888-763-7272
Hyde Park, MA 02136Get directions →

Provider Business Mailing Address Details

Address
1234 Hyde Park Ave
Hyde Park, MA 02136-2819
City
Hyde Park
State
MA
Zip
02136-2819
Phone Number
888-763-7272
Fax Number
877-243-2959

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Johnastasia L Henderson, MS?

The NPI number of Johnastasia L Henderson, MS is 1003452640. It was assigned on November 19, 2019 and is currently active in the NPPES registry.

What is the specialty of Johnastasia L Henderson, MS?

Johnastasia L Henderson, MS is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Johnastasia L Henderson, MS practice?

The practice location is 1234 Hyde Park Ave, Hyde Park, MA 02136-2819. The office can be reached at 888-763-7272 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003452640 directly on the NPPES registry website.

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