NICOLE DELORES HENSON (NPI# 1013204544) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013204544 |
| Entity Type | Individual |
| Full Name | NICOLE DELORES HENSON |
| Practice Address |
9310 Nw 59th Ter Parkville MO 64152-3536 |
| Practice Telephone | 9139095205 |
| Mailing Telephone | 9139095205 |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2015-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215388376 | Nicole Henson | Behavioral Analyst | 1830 S Alma School Rd, Suite 130, Mesa, AZ 85210-3056 | 2016-06-29 |
| Street Address |
9310 NW 59TH TER |
| City | PARKVILLE |
| State | MO |
| Zip Code | 64152-3536 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982080271 | Able Independent Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9310 Nw 59th Ter, Parkville, MO 64152-3536 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669025573 | Kayla S Jones | Behavior Technician | 63301 Nw Kelly Dr Ste A, Parkville, MO 64152 | 2019-07-19 |
| 1386191401 | Branson Lyle Billings | Dentist | 8600 Tom Watson Pkwy., Ste. 101, Parkville, MO 64152 | 2016-09-07 |
| 1467908467 | Abigail Stanley | Dietitian, Registered | 6185 Jefferson Avenue, Parkville, MO 64152 | 2016-08-30 |
| 1568874477 | Latoya R Walker | Counselor | 8341 Nw Mace Rd Ste 115, Kansas City, MO 64152 | 2014-05-27 |
| 1386088284 | Stacey Chestnut-watson | Counselor | 8341 Nw Mace Rd Ste 120, Kansas City, MO 64152 | 2013-04-22 |
| 1093069049 | Rhonda Joyce Weimer | Counselor | 160 A West 12th Street, Parkville, MO 64152 | 2012-10-30 |
| 1902182892 | Kelly Dawn Siebert | Pharmacist | 3645 Frederick Blvd, St. Joseph, MO 64152 | 2011-10-24 |
| 1922301563 | Casey Chiropractic LLC | Chiropractor | 8303 N. Congress Ave, Kansas City, MO 64152 | 2010-12-20 |
| 1093910994 | Jennifer A. Sutch | Occupational Therapist | 8400 Nw 62nd.st., Parkville, MO 64152 | 2007-06-19 |
| 1154483972 | Karla Elaine Woodring Fredericks | Counselor | 171 English Landing Drive, Suite 220, Parkville, MO 64152 | 2006-12-15 |
| Find all providers in zip 64152 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982080271 | Able Independent Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9310 Nw 59th Ter, Parkville, MO 64152-3536 | 2015-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475516 | Brandi Janelle Hickman | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8706 Newton Ave Apt 4101, Kansas City, MO 64138-5461 | 2020-10-21 |
| 1154935112 | Overcomers Counseling Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 17101 East 203rd St, Peculiar, MO 64078 | 2020-09-06 |
| 1386265965 | Candace Palmer | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2405 Bowe Ln, Jefferson City, MO 65109-9116 | 2020-05-05 |
| 1902426596 | Matt Ferguson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4480 Bradley Dr, Joplin, MO 64804-5503 | 2020-04-23 |
| 1689206211 | Insight Industry LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2501 Ne Prairie Falcon Dr, Blue Springs, MO 64014-1958 | 2020-02-11 |
| 1598306904 | Hearo Technologies LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 N Jefferson Ave Ste 1063, Springfield, MO 65806-1110 | 2019-10-07 |
| 1437790219 | Darin Roark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2628 Se Kimbrough Ln, Lees Summit, MO 64063-1082 | 2019-10-03 |
| 1942851399 | Wyatt's Dream Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 205 State Highway Aa, Sikeston, MO 63801-5303 | 2019-09-26 |
| 1043871908 | Cura Personalis, (care for The Whole Person), LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11650 Bobwhite Road, Carthage, MO 64836 | 2019-06-21 |
| 1043870181 | Rebuild Contracting LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1783 Possum Hollow Dr, Camdenton, MO 65020-6709 | 2019-06-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on NICOLE DELORES HENSON.
| 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.