SUSAN K HENDERSON


Address: 403 E Madison St, South Bend, IN 46617-2322
Phone: 5742831234

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).

Provider Overview

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

Taxonomy

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

Other Providers SUSAN HENDERSON

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

Office Location

Street Address 403 E MADISON ST
City SOUTH BEND
State IN
Zip Code 46617-2322

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City SOUTH BEND
Zip Code 46617

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Dataset Information

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.

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