ROBERT HENDERSON (NPI# 1720594120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720594120 |
| Entity Type | Individual |
| Full Name | ROBERT HENDERSON |
| Credential | LADC |
| Practice Address |
2501 N Green Valley Pkwy Henderson NV 89014-0273 |
| Mailing Address |
1711 Whitney Mesa Dr Henderson NV 89014-2080 |
| Practice Telephone | 7023853330 |
| Practice Fax Number | 7029242575 |
| Mailing Telephone | 7023852090 |
| Mailing Fax Number | 7029242575 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-03-17 |
| 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) |
LADC01683-L | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 323 N Maryland Pkwy, Las Vegas, NV 891013130 | 7023853330 | 7029242575 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225231517 | Robert Michael Henderson | Dentist | 6222 W 9th Ave, Amarillo College Dental Clinic, Amarillo, TX 79106-0701 | 2007-06-06 |
| 1578601118 | Robert D. Henderson | Chiropractor | 1400 E Robinson St, Orlando, FL 32801-2120 | 2007-02-04 |
| 1336213776 | Robert S. Henderson | Counselor | 16 High St., South Glastonbury, CT 06073 | 2006-11-18 |
| 1972673838 | Robert C Henderson | Specialist | 4600 N Habana Ave Ste 30, Tampa, FL 33614-7123 | 2006-11-08 |
| 1275543092 | Robert E. Henderson | Dentist | 824 E Redd Rd, Ste. 1-b, El Paso, TX 79912-7262 | 2006-08-08 |
| 1811915622 | Robert W Henderson | Dentist | 101 Darby Dr, Suite 101, Georgetown, KY 40324-8715 | 2006-07-18 |
| 1609830041 | Robert W Henderson | Family Medicine | 2929 Carlisle St, Suite 260, Dallas, TX 75204-1084 | 2006-04-13 |
| 1942277439 | Robert L Henderson | Otolaryngology | 10480 Little Patuxent Pkwy, Suite 220, Columbia, MD 21044-3568 | 2006-03-02 |
| 1437132552 | Robert Clark Henderson | Obstetrics & Gynecology | 44 Tiverton Ln, Asheville, NC 28803-1909 | 2005-11-22 |
| 1124010285 | Robert R Henderson | Ophthalmology | 1800 State St, Nashville, TN 37203-2206 | 2005-08-16 |
| Street Address |
2501 N GREEN VALLEY PKWY |
| City | HENDERSON |
| State | NV |
| Zip Code | 89014-0273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891231809 | Wilda Castro | Marriage & Family Therapist | 2501 N Green Valley Pkwy, Building D Suite 116 D, Henderson, NV 89014-0273 | 2017-01-13 |
| 1255872628 | Imani Delille | Case Manager/Care Coordinator | 2501 N Green Valley Pkwy, Bldg. D, Ste 116-118, Henderson, NV 89014-0273 | 2017-03-17 |
| 1578003190 | Dekesha Mcfarland-bingham | Marriage & Family Therapist | 2501 N Green Valley Pkwy, Bldg. D Suite 116, Henderson, NV 89014-0273 | 2017-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447857024 | Sudheer J. Surpure, Md, Dds, Inc. | Oral & Maxillofacial Surgery | Grand Canyon Oral and Facial Surgery, 1600 W. Sunset Road, Suite B, Henderson, NV 89014 | 2020-10-06 |
| 1386271740 | Fibonacci Services LLC | Counselor | 2920 N. Green Valley Pkwy, Bulding 8 & Suite 812, Henderson, NV 89014 | 2020-03-25 |
| 1508409145 | Facial Expressions Presented By K. Thomas | Home Infusion | 1520 W. Sunset Rd. Ste 130, #205, Henderson, NV 89014 | 2019-10-27 |
| 1235794595 | Marquise D Dennis | Prosthetist | 1520 W. Sunset Rd, Henderson, NV 89014 | 2019-05-02 |
| 1609359165 | Kenisha Voncille Thomas | Family Medicine | 1520 W Sunset Rd Ste 130, Henderson, NV 89014 | 2018-09-11 |
| 1841716727 | Logan Bretney | Physical Therapist | 400 S Stephanie St, Suite 310, Building 1, Henderson, NV 89014 | 2017-08-22 |
| 1912421280 | Alan Joseph Sevy | Dentist | 1485 W Warm Springs Rd Ste 101, Henderson, NV 89014 | 2017-07-28 |
| 1659805307 | Ann Marie Echevarria | Behavior Technician | 2551 N Green Valley Parkway, 410a, Henderson, NV 89014 | 2017-04-19 |
| 1366838997 | Ladwana Retic, Lcsw LLC | Case Management | 1514 Tree Top Ct, Henderson, NV 89014 | 2015-04-10 |
| 1073958393 | Ashlyn Call | Physician Assistant | 1397 Galleria Dr Ste 100, Henderson, NV 89014 | 2013-04-30 |
| Find all providers in zip 89014 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154930949 | James C Stroud | Counselor | 7525 State Highway 64 W, Henderson, TX 75652-9021 | 2020-07-28 |
| 1700428414 | Tawnia M Lindal | Counselor | 525 Engel Ave, Henderson, NV 89011-4355 | 2019-10-14 |
| 1811538317 | Nicole Mcdonagh | Counselor | 2520 Saint Rose Pkwy Ste 220a, Henderson, NV 89074-7789 | 2019-10-05 |
| 1710540729 | James Allan Hagman | Counselor | 401 Hoffman Dr Ste L, Henderson, KY 42420-3390 | 2019-04-16 |
| 1336606342 | Mountain Summits LLC | Counselor | 2520 Saint Rose Pkwy Ste 204, Henderson, NV 89074-7785 | 2019-02-26 |
| 1356810337 | Kevin A Webster | Counselor | 203 S Water St Unit 200, Henderson, NV 89015-7226 | 2018-11-19 |
| 1952890089 | Natalie Dolan | Counselor | 309 W Lake Mead Pkwy Ste 100, Henderson, NV 89015-7056 | 2018-05-03 |
| 1528556321 | Lance Everett Sellers | Counselor | 975 Seven Hills Dr Apt 3315, Henderson, NV 89052-4324 | 2018-04-26 |
| 1316440308 | Micah Jovan Smith | Counselor | 2501 N Green Valley Pkwy Ste 116-118, Henderson, NV 89014-0273 | 2018-03-15 |
| 1871091892 | Crenguta Raluca Heim | Counselor | 2050 W Warm Springs Rd Unit 1121, Henderson, NV 89014-5526 | 2018-01-24 |
| Find all providers in HENDERSON | ||||
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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.