JOHN HENDERSON (NPI# 1386108066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386108066 |
| Entity Type | Individual |
| Full Name | JOHN HENDERSON |
| Credential | CDCA |
| Practice Address |
323 N Broad St Fairborn OH 45324-4934 |
| Mailing Address |
2125 S Tecumseh Rd Lot 118 Springfield OH 45502-8587 |
| Practice Telephone | 9373188103 |
| Mailing Telephone | 9373401141 |
| Enumeration Date | 2019-01-26 |
| Last Update Date | 2019-01-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.167280 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952710212 | John Henderson | Chiropractor | 1624 N Avignon Ln, Clovis, CA 93619-3798 | 2014-08-11 |
| 1235452186 | John William Henderson | Specialist/Technologist | 7473 Shay Ln, South Weber, UT 84405-9202 | 2010-03-07 |
| 1699899633 | John Stephen Henderson | Counselor | 663 Cottage St Ne, Salem, OR 97301-2419 | 2007-03-16 |
| 1245314947 | John Henderson | Internal Medicine | 3400 Laguna St, San Francisco, CA 94123 | 2006-10-25 |
| 1962591214 | John David Henderson | Dentist | 624 Lauderdale St, Selma, AL 36701-4529 | 2006-10-12 |
| 1114963402 | John Gibson Henderson Jr. | Psychologist | 473 Graywood Dr, Ballwin, MO 63011-3459 | 2006-06-22 |
| 1477597979 | John M. Henderson Sr. | Family Medicine | 1900 10th Ave Suite 320, Columbus, GA 31901 | 2006-06-15 |
| 1881195162 | John Henderson | Counselor | 3100 Euclid Ave, Cleveland, OH 44115-2508 | 2018-02-22 |
| 1669972055 | John Henderson | Physical Therapist | 124 Hawthorne Ln, Greenwood, IN 46142-9430 | 2018-02-13 |
| 1346654407 | John Henderson Iv | Internal Medicine | 1327 Stadium Dr, Macon, GA 31207-1302 | 2014-06-17 |
| Street Address |
323 N BROAD ST |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324-4934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447886403 | Melissa Marie Root | Nurse Practitioner | 323 N Broad St, Fairborn, OH 45324-4934 | 2020-03-20 |
| 1619510989 | Janet Lee Neal | Nurse Practitioner | 323 N Broad St, Fairborn, OH 45324-4934 | 2019-10-19 |
| 1134776685 | Fairborn Mental Health LLC | Psychiatry & Neurology | 323 N Broad St, Fairborn, OH 45324-4934 | 2019-08-20 |
| 1972150423 | Fairborn Mental Health LLC | Family Medicine | 323 N Broad St, Fairborn, OH 45324-4934 | 2019-08-20 |
| 1669978656 | Fairborn Mental Health LLC | Nurse Practitioner | 323 N Broad St, Fairborn, OH 45324-4934 | 2018-03-30 |
| 1427428929 | Sheila Dunn | Nurse Practitioner | 323 N Broad St, Fairborn, OH 45324-4934 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194286211 | Ashley M Hunter | Counselor | 852 Washington Ave, Fairborn, OH 45324-3840 | 2019-03-29 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| 1093185100 | Jason Keating | Counselor | 1082 Whitetail Dr, Fairborn, OH 45324-8718 | 2015-10-01 |
| 1033643499 | Hannah Blair | Counselor | 600 E Dayton Yellow Springs Rd, Fairborn, OH 45324-3995 | 2017-04-12 |
| 1508182379 | Charles Tipton | Counselor | 600 E Dayton Yellow Springs Rd, Fairborn, OH 45324-3995 | 2010-04-19 |
| 1609190859 | Stephen Hickman | Counselor | 600 E Dayton Yellow Springs Rd, Fairborn, OH 45324-3995 | 2010-03-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093254 | Innovative Wellness LLC | Counselor | 4985 Smoketalk Ln, Westerville, OH 43081-4432 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.