MR. SCOTT HENDERSON (NPI# 1003214339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003214339 |
| Entity Type | Individual |
| Full Name | MR. SCOTT HENDERSON |
| Practice Address |
259 Bill France Blvd Ste 200 Daytona Beach FL 32114-1316 |
| Mailing Address |
452 Island View Cir St Augustine FL 32095-9631 |
| Practice Telephone | 3868681992 |
| Mailing Telephone | 9042406209 |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2014-12-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420227 | Scott Robert Henderson | Student in an Organized Health Care Education/Training Program | Kaiser Permanente Bernard J. Tyson School of Me, 98 S. Los Robles Avenue, Pasadena, CA 91101-9110 | 2020-06-02 |
| 1679846570 | Scott Thomas Henderson | Registered Nurse | 10671 Roanna Ln, Saint Louis, MO 63128-1534 | 2012-02-23 |
| 1780725275 | Scott Dewey Henderson | Social Worker | 681 N Main, Richfield, UT 84701 | 2007-02-09 |
| 1649311929 | Scott Allen Henderson | Chiropractor | 3663 College St Se Ste F, Lacey, WA 98503-3529 | 2007-02-09 |
| 1417004300 | Scott James Henderson | Anesthesiology | Overland Park Reg. Med Center, Dept. of Anesthesiology, 10500 Quivira Road, Overland Park, KS 66215 | 2007-01-04 |
| 1174595383 | Scott Henderson | Physician Assistant | 1101 Wootton Pkwy, Suite 100, Rockville, MD 20852-1059 | 2006-02-02 |
| 1093872855 | Scott O. Henderson | Dentist | 285 Elm Street, Suite 200, Cumming, GA 30040 | 2007-01-02 |
| 1225116767 | Scott David Henderson | Dentist | 15250 E Orchard Rd, Centennial, CO 80016-3003 | 2006-11-01 |
| 1720178940 | Scott J Henderson | Physical Therapist | 4069 Lake Dr Se, Ste 114, Grand Rapids, MI 49546-8816 | 2006-10-16 |
| 1700997459 | Scott T Henderson | Family Medicine | 1020 Hitt Street, Columbia, MO 65212-0001 | 2006-08-31 |
| Street Address |
259 BILL FRANCE BLVD STE 200 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32114-1316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225121411 | Maria E Masferrer | Psychiatry & Neurology | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2006-10-02 |
| 1194336586 | Patricia Duff-fleming | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2020-08-11 |
| 1437785409 | Kadie Adah-ann Goodwin | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2020-03-21 |
| 1851936165 | Erica Thomas | Case Manager/Care Coordinator | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2019-11-11 |
| 1215493028 | Sheriefe Cameron Williams | Case Manager/Care Coordinator | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114 | 2019-02-17 |
| 1548725864 | Angela Hill | Registered Nurse | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2019-02-01 |
| 1447735261 | Katarzyna Hanna Potocka | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2018-09-27 |
| 1578062576 | Crystal Ann Gray | Case Manager/Care Coordinator | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2018-02-05 |
| 1659888014 | Deanna Dawn Goracke | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2018-01-08 |
| 1952811135 | Taylor Jewell Camejo | Case Manager/Care Coordinator | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2017-10-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161380 | Evolution Health & Performance LLC | Physician Assistant | 244 S. Palmetto Ave, Daytona Beach, FL 32114 | 2020-07-07 |
| 1407480189 | Kierra Imani Kinsey | Behavior Technician | 1128-a Beville Rd, Daytona Beach, FL 32114 | 2020-03-02 |
| 1043776057 | Outreach Community Care Network Inc | Pharmacy | 240 N. Frederick Avenue, Daytona Beach, FL 32114 | 2019-02-14 |
| 1033681861 | Katherine Proppe | Specialist/Technologist | 1 Aerospace Blvd, Daytona Beach, FL 32114 | 2018-12-18 |
| 1841765047 | Anna L Smith | Nurse Practitioner | 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 | 2018-10-04 |
| 1154806933 | Steve Anthony Lee | Family Medicine | 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 | 2018-09-27 |
| 1285116491 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 | 2018-09-04 |
| 1770085656 | Merina Lee | Occupational Therapist | 1159 Australia Ave., Daytona Beach, FL 32114 | 2018-03-06 |
| 1346752755 | Hand & Upper Extremity Surgery of Daytona Beach, LLC | Non-Pharmacy Dispensing Site | 1241 Ridgewood Ave, Daytona Beach, FL 32114 | 2017-10-26 |
| 1104347053 | Harry Herman Blanke IIi | Family Medicine | 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 | 2017-06-30 |
| Find all providers in zip 32114 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730648841 | Hakeem B. Rufai | Counselor | 1220 Willis Ave # 81, Daytona Beach, FL 32114-2810 | 2019-03-18 |
| 1891050936 | Karen Mitchell | Counselor | 1323 S Shangri La Dr, Daytona Beach, FL 32119-1502 | 2012-07-04 |
| 1982998811 | Arlicia Thomas | Counselor | 808 Kathy St, Daytona Beach, FL 32114-6037 | 2011-06-08 |
| 1346546686 | Nancy B. Figueroa | Counselor | 211 N Ridgewood Ave, Suite 204, Daytona Beach, FL 32114-7515 | 2011-02-03 |
| 1447735261 | Katarzyna Hanna Potocka | Counselor | 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114-1316 | 2018-09-27 |
| 1619485315 | Symone Ayana Ellis | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-16 |
| 1295242709 | Amy Kundinger | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-05 |
| 1366959264 | Kayla Marie Goldsby | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
| 1730696634 | Justin William Knighton | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2018-01-02 |
| 1194232140 | Shaneqwa Credle | Counselor | 1823 Business Park Blvd, Daytona Beach, FL 32114-1230 | 2017-12-29 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32114 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.