MRS. CRYSTAL HENDERSON (NPI# 1124519806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124519806 |
| Entity Type | Individual |
| Full Name | MRS. CRYSTAL HENDERSON |
| Practice Address |
401 E 162nd St Ste 103 South Holland IL 60473-2237 |
| Practice Telephone | 7738195504 |
| Mailing Telephone | 7738195504 |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 101YM0800X | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265663827 | Crystal Henderson | Social Worker | 15 Dove Ln, Middletown, CT 06457-6203 | 2009-07-30 |
| 1053453720 | Crystal Henderson | Physical Therapist | 930 Barachel Ln Ste 400, Greensburg, IN 47240-3253 | 2007-02-12 |
| 1184717688 | Crystal Henderson | Pharmacist | 1001 Lake Carolyn Pkwy Apt 516, Irving, TX 75039-4816 | 2006-10-02 |
| 1952757247 | Crystal Laree Henderson | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2016-05-05 |
| 1790120228 | Crystal Henderson | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-05-10 |
| 1619296852 | Crystal Sanders Henderson | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd, Ste 404, Metairie, LA 70002-3531 | 2010-05-27 |
| Street Address |
401 E 162ND ST STE 103 |
| City | SOUTH HOLLAND |
| State | IL |
| Zip Code | 60473-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427567296 | Andrea I Washington | Social Worker | 401 E 162nd St Ste 103, South Holland, IL 60473-2237 | 2017-09-25 |
| 1023595675 | Healing Empowering & Learning Professionals LLC | Clinic/Center | 401 E 162nd St Ste 103, South Holland, IL 60473-2237 | 2018-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558826453 | Beverly Hadley, Dds P.C. | Dentist | 16282 Prince Drive, South Holland, IL 60473 | 2019-02-05 |
| 1053830828 | Caring Shepherds Health Care Inc | In Home Supportive Care | 15525 South Park Ave, Suite 103b, South Holland, IL 60473 | 2017-09-13 |
| 1972039469 | Dipeeka Patel | Nurse Practitioner | 430 E 162nd St # 487, South Holland, IL 60473 | 2017-05-03 |
| 1134576036 | A&j Transportation LLC | Non-emergency Medical Transport (VAN) | 16610 Langley Ave, South Holland, IL 60473 | 2016-05-20 |
| 1902204902 | Np Prn LLP | Clinic/Center | 16456 Dobson, South Holland, IL 60473 | 2014-12-08 |
| 1033415328 | Twfj Inc | Private Vehicle | 15059 Forestview, South Holland, IL 60473 | 2011-02-03 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1952576233 | Harvey Family Center | Voluntary or Charitable | 16247 Wausau Ave., South Holland, IL 60473 | 2008-04-28 |
| 1548452725 | Chirospaaah | Chiropractor | 944 East 162nd St., South Holland, IL 60473 | 2007-08-13 |
| 1033313341 | Myra D Staples | Social Worker | 430 East 167th Street, South Holland, IL 60473 | 2007-06-12 |
| Find all providers in zip 60473 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114432564 | Anthony Olujimi | Counselor | 15475 S Park Ave Ste 109, South Holland, IL 60473-1377 | 2017-12-07 |
| 1871751396 | Arlene Gardner | Counselor | 16107 Lasalle Street, South Holland, IL 60473 | 2008-05-30 |
| 1245424001 | Sabrina Peden | Counselor | 16408 School St, South Holland, IL 60473-2321 | 2007-09-04 |
| 1255543344 | Medco Physicians Unlimited Inc | Counselor | 16260 Louis Ave, Suite 736, South Holland, IL 60473-5201 | 2007-05-03 |
| 1164587275 | Tracey C Adams | Counselor | 16162 Ellis Ave, Unit 1 South, South Holland, IL 60473-1700 | 2006-12-27 |
| 1154423861 | Grover Jerome Davis | Counselor | 15475 S Park Ave Ste 102b, South Holland, IL 60473-1378 | 2006-09-02 |
| 1003427808 | Robert E Smith | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-08-14 |
| 1558972356 | Ollie Harris-muse | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-08-14 |
| 1376169771 | Cassandra Ulysse | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-06-22 |
| 1548899040 | Etta Martinez | Counselor | 16278 Prince Dr, South Holland, IL 60473-3233 | 2020-04-06 |
| Find all providers in SOUTH HOLLAND | ||||
| City | SOUTH HOLLAND |
| Zip Code | 60473 |
Please comment or provide details below to improve the information on MRS. CRYSTAL HENDERSON.
| 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.