MRS. SHIRLEY KATHRYN HENDERSON (NPI# 1912386905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912386905 |
| Entity Type | Individual |
| Full Name | MRS. SHIRLEY KATHRYN HENDERSON |
| Credential | LICENSED COUNSELOR |
| Practice Address |
2830 E Gordon Dr Covenant Counseling Kingman AZ 86409-2736 |
| Mailing Address |
4366 Box J Dr Kingman AZ 86401-7348 |
| Practice Telephone | 9285306778 |
| Mailing Telephone | 9285306778 |
| Enumeration Date | 2015-05-22 |
| Last Update Date | 2015-05-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962522854 | Shirley C Henderson | Licensed Practical Nurse | 249 County Road 1101, Booneville, MS 38829-9630 | 2007-04-02 |
| 1790768455 | Shirley Henderson | Specialist | 1250 W Cherry Ln, Meridian, ID 83642-1514 | 2005-11-26 |
| 1477915700 | Shirley Henderson | Counselor | 800 5th St, Sioux City, IA 51101-1317 | 2016-03-25 |
| 1639332448 | Shirley Ann Henderson | Dentist | 747 Brawley School Rd, Mooresville, NC 28117 | 2008-07-02 |
| 1366503971 | Shirley Johnson Henderson | Counselor | 2151 45th St, Suite 207, West Palm Beach, FL 33407-2026 | 2006-12-13 |
| Street Address |
2830 E GORDON DR COVENANT COUNSELING |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86409-2736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437695731 | Medical Laboratory Specialty, Inc | Clinical Medical Laboratory | 3636 St, Kingman, AZ 86409 | 2017-01-10 |
| 1003219007 | Premier Home Health Agency | Home Health | 3555 Western Ave, Kingman, AZ 86409 | 2014-10-03 |
| 1558774984 | Fernando Velez | Pharmacist | 2003 Roy Rogers Way, Kingman, AZ 86409 | 2014-06-03 |
| 1013227834 | Route 66 Cab Inc | Taxi | 3595 E Us Highway 66, Kingman, AZ 86409 | 2010-10-14 |
| 1740503374 | Route 66 Cab Inc. | Taxi | 3595 East Hwy 66, Kingman, AZ 86409 | 2010-03-10 |
| 1649409145 | Arizona Cvs Stores, L.L.C. | Durable Medical Equipment & Medical Supplies | 3501 Stockton Hill Rd, Kingman, AZ 86409 | 2009-07-07 |
| 1790922896 | Jack Cheng-tsung Hou | Urology | 1739 E Beverly Ave Ste 106, Kingman, AZ 86409 | 2009-01-12 |
| 1710184726 | Michele F Epstein | Internal Medicine | 3571 N Moore Street, Kingman, AZ 86409 | 2007-07-02 |
| 1013118306 | Conchita O Mercado | Dentist | 1101 Riata Valley Rd, Kingman, AZ 86409 | 2007-05-31 |
| 1366585945 | Deering Therapy Services Ltd | Occupational Therapist | 1841 Morrow Ave, Kingman, AZ 86409 | 2007-02-14 |
| Find all providers in zip 86409 | ||||
| Taxonomy Code | 101YP1600X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Pastoral |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275915548 | Jamie K Hicks | Counselor | 1850 Gates Ave, Kingman, AZ 86401-8003 | 2015-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1114530540 | Kimetta Arniece Coleman | Counselor | 2375 E Camelback Rd # 628, Phoenix, AZ 85016-3424 | 2020-08-25 |
| 1649882721 | Shirli Regev | Counselor | 9851 W Lone Cactus Dr, Peoria, AZ 85382-0549 | 2020-08-19 |
| 1922620913 | Veronica Ramirez | Counselor | 7805 S 27th Way, Phoenix, AZ 85042-7079 | 2020-05-12 |
| 1922628908 | Melinda H Connor | Counselor | 31907 South Davis Ranch Rd, Marana, AZ 85658 | 2020-04-20 |
| 1366947681 | Lisa Marie Smith | Counselor | 14435 N 7th St Ste 106, Phoenix, AZ 85022-4371 | 2018-03-28 |
| 1043733025 | Margaret K Franklin | Counselor | 9299 W Olive Ave Ste 212, Peoria, AZ 85345-8382 | 2017-07-20 |
| 1861929689 | Carol Mack | Counselor | 1530 N Country Club Dr Ste 19, Mesa, AZ 85201-2560 | 2017-05-11 |
| 1871027250 | Shawn Breeden | Counselor | 4196 E Whitehall Dr, San Tan Valley, AZ 85140-7647 | 2017-04-12 |
| 1902342645 | Paula Bishop | Counselor | 2301 E Sahuarita Rd, Sahuarita, AZ 85629-9465 | 2017-01-18 |
| 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.