SUSAN K HENDERSON (NPI# 1225310402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225310402 |
Entity Type | Individual |
Full Name | SUSAN K HENDERSON |
Credential | LAC |
Practice Address |
403 E Madison St South Bend IN 46617-2322 |
Mailing Address |
Po Box 809 Goshen IN 46527-0809 |
Practice Telephone | 5742831234 |
Practice Fax Number | 5742831131 |
Mailing Telephone | 5745331234 |
Mailing Fax Number | 5745372652 |
Enumeration Date | 2011-09-14 |
Last Update Date | 2011-09-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
86000033A | IN | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477026813 | Susan Elizabeth Henderson | Counselor | 2804 Lake Rd Ste 2, Huntsville, TX 77340-5626 | 2019-01-08 |
1386898849 | Susan Carol Henderson | Counselor | 550 S Watters Rd Ste 272, Allen, TX 75013-5231 | 2008-11-11 |
1306970249 | Susan Joy Henderson | Internal Medicine | Paul D Coverdell Peace Corps Hq, 2011 20th St Nw, Washington, DC 20526-0001 | 2007-03-15 |
1538109145 | Susan Martina Henderson | Counselor | 38-42 Front Street Ll Suite, Binghamton, NY 13905 | 2006-06-08 |
1588629752 | Susan Carroll Henderson | Counselor | 2316 Atherholt Rd, Suite 107, Lynchburg, VA 24501-2100 | 2006-04-19 |
1649835257 | Susan Marie Henderson | Registered Nurse | 901 12th Ave, Seattle, WA 98122-4411 | 2019-05-08 |
1356856397 | Susan K Henderson | Behavior Technician | 1363 Douglas Dr Ste 104, Traverse City, MI 49696-8980 | 2017-12-13 |
1881036739 | Susan C Henderson | Speech-Language Pathologist | 3001 W Blue Starr Dr, Claremore, OK 74017-2544 | 2013-07-19 |
1477834935 | Susan Beth Henderson | Pharmacist | 1991 E Apple Ave, Muskegon, MI 49442-4246 | 2011-08-29 |
1861790347 | Susan Jean Henderson | Massage Therapist | 511 E Magnolia St, Suite 200, Bellingham, WA 98225-4559 | 2011-03-07 |
Street Address |
403 E MADISON ST |
City | SOUTH BEND |
State | IN |
Zip Code | 46617-2322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164497962 | Phillip Coffey | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2006-02-23 |
1134534456 | Memorial Hospital of South Bend, Inc | General Acute Care Hospital | 403 E Madison St, South Bend, IN 46617-2322 | 2014-06-25 |
1154633550 | Meladie A Langham | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
1497067896 | Kami S Brenneman | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-07-14 |
1396064309 | Casandra Mcgrew | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
1124347133 | Amanda Jardine | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-06-01 |
1104141985 | Aaron T Gray | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2010-04-05 |
1346579679 | Linda S Hoppel | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
1235468570 | Michelle M Peters | Social Worker | 403 E Madison St, South Bend, IN 46617-2322 | 2009-12-16 |
1700112224 | South Bend Psychiatry LLC | Psychiatry & Neurology | 403 E Madison St, South Bend, IN 46617-2322 | 2009-10-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
Find all providers in zip 46617 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346632957 | Joel A Mccleary | Counselor | 17815 Woodthrush Ln, South Bend, IN 46635-1329 | 2015-02-19 |
1295123693 | Perry Minner Jr. | Counselor | 430 E Lasalle Ave, South Bend, IN 46617-2724 | 2015-01-07 |
1124449053 | Sandra J Jackson | Counselor | 4218 Western Ave., South Bend, IN 46619 | 2013-12-19 |
1902227911 | Patricia Ann Miller | Counselor | 4218 Western Ave, South Bend, IN 46619 | 2013-12-17 |
1730526823 | Thomas Eugene Hoff | Counselor | 1409 Enchanted Forest St, South Bend, IN 46637-4730 | 2013-05-29 |
1174738439 | Pearl A. Anderson | Counselor | 4005 W Western Ave, South Bend, IN 46619-2617 | 2007-05-11 |
1972629327 | Pamela H Forsey | Counselor | 2319 Edison Rd, South Bend, IN 46615-3515 | 2007-03-21 |
1578190815 | Jeremy Sean Molica | Counselor | 4218 W Western Ave, South Bend, IN 46619-2622 | 2020-03-26 |
1700420023 | Rachael Elizabeth Amor | Counselor | 3606 E Jefferson Blvd, South Bend, IN 46615-3052 | 2019-10-30 |
1821593989 | Keilah Ehrman | Counselor | 1102 Fellows St, South Bend, IN 46601-3514 | 2018-03-29 |
Find all providers in SOUTH BEND |
City | SOUTH BEND |
Zip Code | 46617 |
Please comment or provide details below to improve the information on SUSAN K 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.