Active NPIIndividual providerSole proprietor

Jacquelene Henderson, LMHC

Counselor, Mental Health in Middletown, Rhode Island

NPI Number1164993465
Practice location
809 Aquidneck Ave Ste 16, Middletown, RI 02842-5533
Fax
—
Last updated
November 11, 2025

Jacquelene Henderson is a Counselor, Mental Health based in Middletown, RI. Jacquelene Henderson practices in Middletown, RI and has the professional credentials of LMHC. The NPI Number for Jacquelene Henderson is 1164993465 and holds a License No. MHC01001 (RI). The current practice location address for Jacquelene Henderson is 809 Aquidneck Ave Ste 16, Middletown, RI 02842-5533 and can be reached out via phone at 401-862-0190.

Provider Profile Details

NPI Number
1164993465
Provider Name
Jacquelene Henderson
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
809 Aquidneck Ave Ste 16, Middletown, RI 02842-5533
Phone Number
401-862-0190
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
December 12, 2018
Last Update Date
November 11, 2025
Certification Date
November 11, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
809 Aquidneck Ave Ste 16
Middletown, RI 02842-5533
Zip
02842-5533
Phone Number
401-862-0190
Middletown, RI 02842Get directions →

Provider Business Mailing Address Details

Address
Po Box 415
Newport, RI 02840-0400
City
Newport
State
RI
Zip
02840-0400

License Information

Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
MHC01001
License State (2)
RI
Taxonomy (2)
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 Jacquelene Henderson, LMHC?

The NPI number of Jacquelene Henderson, LMHC is 1164993465. It was assigned on December 12, 2018 and is currently active in the NPPES registry.

What is the specialty of Jacquelene Henderson, LMHC?

Jacquelene Henderson, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in RI under license number MHC01001.

Where does Jacquelene Henderson, LMHC practice?

The practice location is 809 Aquidneck Ave Ste 16, Middletown, RI 02842-5533. The office can be reached at 401-862-0190 (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 1164993465 directly on the NPPES registry website.

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