CRYSTAL HENDERSON (NPI# 1790120228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790120228 |
| Entity Type | Individual |
| Full Name | CRYSTAL HENDERSON |
| Practice Address |
817 Ne 63rd St Oklahoma City OK 73105-6411 |
| Mailing Address |
3420 Nw 53rd St Oklahoma City OK 73112-5620 |
| Practice Telephone | 4057537159 |
| Mailing Telephone | 4059224988 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| 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 |
| 1124519806 | Crystal Henderson | Counselor | 401 E 162nd St Ste 103, South Holland, IL 60473-2237 | 2018-05-29 |
| 1952757247 | Crystal Laree Henderson | Nurse Practitioner | 937 Highland Blvd Ste 5410, Bozeman, MT 59715-6916 | 2016-05-05 |
| 1619296852 | Crystal Sanders Henderson | Nurse Anesthetist, Certified Registered | 3510 N Causeway Blvd, Ste 404, Metairie, LA 70002-3531 | 2010-05-27 |
| Street Address |
817 NE 63RD ST |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73105-6411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740538644 | Oklahoma Counseling Intervention Center | Community/Behavioral Health | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2012-08-27 |
| 1851727143 | Memori Johnson | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-09-19 |
| 1598199721 | Victoria Price | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-08-23 |
| 1396187878 | Likkia Mathenia | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-07-24 |
| 1942648993 | Jorge Alarcon | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-06-12 |
| 1306282694 | Lien N Miu | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-05-14 |
| 1700222155 | Sherkia Brown | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-05-13 |
| 1912341637 | Malcolm Xavier Roberts | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-04-24 |
| 1922341619 | Stormy Davenport | Counselor | 817 Ne 63rd St, Oklahoma City, OK 73105-6411 | 2013-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795253 | Darrell Lynn Nowlin | Student in an Organized Health Care Education/Training Program | 4400 North Lincoln Boluvard, Oklahoma City, OK 73105 | 2020-09-21 |
| 1104468834 | Inas Z. Yacoub | Pathology | 921 N.e. 23rd St., Okc, OK 73105 | 2019-10-15 |
| 1861988495 | Grant Weirich | Registered Nurse | 4420 N Lincoln, Oklahoma City, OK 73105 | 2018-07-06 |
| 1073043865 | Joseph W Lee I | Case Manager/Care Coordinator | 2701 N. Oklahoma Ave, Oklahoma City, OK 73105 | 2017-06-14 |
| 1356886840 | Melissa Thompson | Counselor | 4130 N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-12-20 |
| 1285093484 | Dianne Gray | Student in an Organized Health Care Education/Training Program | 440- N. Lincoln Blvd, Oklahoma City, OK 73105 | 2016-02-16 |
| 1124392600 | Ricki Kelley | Counselor | 330 Ne 59th St., Oklahoma City, OK 73105 | 2012-03-01 |
| 1962770727 | Lakisha Murray | Counselor | 4400 N Lincoln, Oklahoma City, OK 73105 | 2011-12-08 |
| 1760700827 | Deborah Proctor | Counselor | 321 North East 28th, Suite #101, Oklahoma City, OK 73105 | 2010-05-13 |
| 1548588791 | Raganda Washington | Counselor | 321 N.e. 28th, Suite 101, Okc, OK 73105 | 2010-05-12 |
| Find all providers in zip 73105 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639777410 | Larissa Wilson | Counselor | 9112 Rolling Green Ave, Oklahoma City, OK 73132-2055 | 2020-10-13 |
| 1497368179 | The Possibilities Place LLC | Counselor | 6900 Basswood Canyon Rd, Oklahoma City, OK 73162-7207 | 2020-08-24 |
| 1306457569 | Compassionate Hand Counseling Services Inc | Counselor | 1414 Sw 89th St Ste B, Oklahoma City, OK 73159-6312 | 2020-08-12 |
| 1942819081 | Michael Sylvester Radonski | Counselor | 14700 Rambling Creek Cir, Oklahoma City, OK 73142-9719 | 2020-07-24 |
| 1548895931 | Court Assistance Programs Inc. | Counselor | 600 N Dewey Avenue Suite 100, Oklahoma City, OK 73102 | 2020-03-06 |
| 1730713884 | Hanna Pauline Nassar | Counselor | 405 Nw 33rd St, Oklahoma City, OK 73118-8644 | 2020-02-27 |
| 1699319475 | Stephanie Gaynell Potts | Counselor | 1724 Ne 54th St, Oklahoma City, OK 73111-6832 | 2019-11-04 |
| 1962062471 | Babatunde Olumuyiwa Sosanya | Counselor | 1900 N Macarthur Blvd Ste 125, Oklahoma City, OK 73127-2650 | 2019-06-17 |
| 1598321440 | Tiba Counseling Center, Inc. | Counselor | 4301 Nw 63rd St Ste 305, Oklahoma City, OK 73116-1504 | 2019-05-16 |
| 1588132542 | Allison Martha Gibson | Counselor | 2525 Nw Expressway Ste 220, Oklahoma City, OK 73112-7227 | 2018-11-08 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73105 |
Please comment or provide details below to improve the information on 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.