MATTHEW JAMAL HENDERSON (NPI# 1831543065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831543065 |
| Entity Type | Individual |
| Full Name | MATTHEW JAMAL HENDERSON |
| Practice Address |
6375 S Williamson Blvd Apt #733 Port Orange FL 32128-4010 |
| Practice Telephone | 9546437740 |
| Mailing Telephone | 9546437740 |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336623172 | Matthew Gregory Henderson | Physician Assistant | Psc 311, Us Army, Apo, AP 96258 | 2018-09-18 |
| 1790310399 | Matthew Henderson | Counselor | 2615 Edwards St, Alton, IL 62002-3915 | 2020-03-04 |
| 1013568740 | Matthew Henderson | Nurse Practitioner | 150 Clinic Ave Ste 101, Carrollton, GA 30117-4402 | 2019-09-24 |
| 1184150666 | Matthew Scott Henderson | Social Worker | 3155 Mill St Ne, Covington, GA 30014-2542 | 2017-05-03 |
| 1134596901 | Matthew Henderson | Pharmacist | 1026 N Main St, Royal Oak, MI 48067-1317 | 2015-08-28 |
| 1689093379 | Matthew Brandon Henderson | Pediatrics | 2501 N Orange Ave Ste 589, Orlando, FL 32804-4647 | 2014-04-10 |
| 1639438484 | Matthew Henderson | Anesthesiology | 101 W 8th Ave, Spokane, WA 99204-2307 | 2012-05-15 |
| 1629351895 | Matthew David Henderson | Pharmacist | 6435 Aliante Pkwy, North Las Vegas, NV 89084-3196 | 2011-09-23 |
| 1427273879 | Matthew Henderson | Physical Therapist | 4450 Hugh Howell Rd Ste 9, Tucker, GA 30084-4917 | 2007-04-13 |
| 1235280744 | Matthew Morgan Henderson | Social Worker | 1100 Wilford Hall Loop, San Antonio, TX 78236-5638 | 2007-01-13 |
| Street Address |
6375 S WILLIAMSON BLVD APT #733 |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32128-4010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487209979 | Encore Hearing Consultants, LLC | Hearing Instrument Specialist | 5889 S. Williamson Blvd, Suite 1409, Port Orange, FL 32128 | 2019-08-02 |
| 1346768835 | T'neill Treherne | Occupational Therapist | 5535 S. Williamson Blvd Suite 774, Port Orange, FL 32128 | 2017-09-05 |
| 1881055440 | Jose Ortiz | Chiropractor | 6315 S Williamson Blvd Apt 132, Port Orange, FL 32128 | 2016-03-10 |
| 1376915132 | Comfortable Care Dental Health Professionals, Pa | Dentist | 5445 S. Williamson Blvd, Port Orange, FL 32128 | 2015-10-20 |
| 1508289570 | Jeffrey Barnes | Physical Therapist | 5535 S. Williamson B;vd, Port Orange, FL 32128 | 2014-01-28 |
| 1881025542 | Rachael Hall | Physical Therapist | 55335 S Williamson Blvd, Suite 774, Port Orange, FL 32128 | 2013-12-06 |
| 1154765840 | Daniel Fleishman | Counselor | 6709 Ferri Circle, Port Orange, FL 32128 | 2013-04-24 |
| 1215282629 | Jeffrey Mclaughlin | Physical Therapist | 5535 S. Williamson Blvd., Ste 774, Port Orange, FL 32128 | 2012-07-23 |
| 1710266812 | Steven Gerald Daniels | Chiropractor | 1807 Creekwater Blvd, Port Orange, FL 32128 | 2011-08-08 |
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| Find all providers in zip 32128 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316395692 | Perspective Mental Health Counseling, LLC | Counselor | 1750 Tributory Ln, Port Orange, FL 32128-4049 | 2016-05-27 |
| 1225478928 | New Hope Miniistries & Counseling, Inc | Counselor | 4170 S Ridgewood Ave, Port Orange, FL 32127-4519 | 2013-06-27 |
| 1326388620 | Karen M Boggs | Counselor | 900 N Swallow Tail Dr Ste 105, Port Orange, FL 32129-6103 | 2013-02-22 |
| 1134424245 | Elaine Barnicle | Counselor | 5484 Trakia Trl, Port Orange, FL 32128-3798 | 2011-01-20 |
| 1184874240 | Katherine Raymond | Counselor | 38 Lindy Loop, Port Orange, FL 32128-6718 | 2008-09-25 |
| 1497928758 | Daniel Lewis Lucas | Counselor | 1059 Azalea Pointe Dr, Port Orange, FL 32129-4100 | 2008-04-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588322 | Rebecca Ann Heald | Counselor | 2430 Duncan Dr, Niceville, FL 32578-2916 | 2020-11-02 |
| 1598366171 | Neurodiverse Ability Services LLC | Counselor | 608 Sw Marvin Burnett Rd, Lake City, FL 32025-4918 | 2020-11-02 |
| 1316547839 | Amber Kovach | Counselor | 8290 Matisse St, Champions Gate, FL 33896-8334 | 2020-10-26 |
| 1760081202 | Nih Holdings LLC | Counselor | 7711 N Military Trl Ste 1014, West Palm Beach, FL 33410-6506 | 2020-10-24 |
| 1346849072 | Blanca Rodriguez | Counselor | 1201 Lavender Jewel Ct, Plant City, FL 33563-2515 | 2020-10-23 |
| 1235738063 | Selena Giordano | Counselor | 1001 East Baker Street #100, Plant City, FL 33563 | 2020-10-22 |
| 1306444989 | Robert A Fahey | Counselor | 3927 Vine Tree Trl Apt A, Lake Worth, FL 33467-8540 | 2020-10-15 |
| 1952909178 | Elizabeth Leon | Counselor | 1067 Nw 119th St, North Miami, FL 33168-6240 | 2020-10-09 |
| 1518564301 | Lisa Chhabra | Counselor | 504 Pelican Ln N, Jupiter, FL 33458-8365 | 2020-10-05 |
| 1124635081 | Always Behavioral Counseling Services | Counselor | 5724 Byron Anthony Pl Apt 338, Sanford, FL 32771-8633 | 2020-09-24 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORANGE |
| Zip Code | 32128 |
Please comment or provide details below to improve the information on MATTHEW JAMAL 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.