KRISTINE JOANN HENDERSON (NPI# 1265578181) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265578181 |
| Entity Type | Individual |
| Full Name | KRISTINE JOANN HENDERSON |
| Credential | M.A. |
| Practice Address |
3351 Eagle Run Dr Ne Ste C Grand Rapids MI 49525-7053 |
| Mailing Address |
4642 Happy Hollow St Sw Grandville MI 49418-9620 |
| Practice Telephone | 6163658920 |
| Mailing Telephone | 6165161570 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101Y00000X | Counselor | 6401009912 | MI | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
6401009912 | MI | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
6401009912 | MI | Behavioral Health & Social Service Providers |
| X | 101YS0200X |
Counselor Specialization: School |
6401009912 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063478709 | Kristine H Henderson | Anesthesiology | Ismett, Dept of Anesthesia, Via Ernesto Tricomi 1, Palermo, PA 90127 | 2006-04-21 |
| Street Address |
3351 EAGLE RUN DR NE STE C |
| City | GRAND RAPIDS |
| State | MI |
| Zip Code | 49525-7053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619021326 | Heather Jane Herrick | Occupational Therapist | 3351 Eagle Run Dr Ne Ste C, Grand Rapids, MI 49525-7070 | 2007-01-22 |
| 1598083859 | Melissa Kaye Baehre Zerial | Speech-Language Pathologist | 3351 Eagle Run Dr Ne Ste C, Grand Rapids, MI 49525-7070 | 2010-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928507 | Therapy With Nicole Pllc | Community/Behavioral Health | 4867 E. Beltline Ave. Ne, Building #1 Lower Level, Grand Rapids, MI 49525 | 2020-09-29 |
| 1184242760 | Christian Healthcare Specialists, Inc. | Obstetrics & Gynecology | 3322 Beltline Court Ne, Suite 1, Grand Rapids, MI 49525 | 2020-07-09 |
| 1174154645 | Amy Vanderslik | Case Manager/Care Coordinator | 3310 Eaglecrest Park Dr. Ne, Suite 100, Grand Rapids, MI 49525 | 2020-02-03 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1598228959 | Kim Scherencel Lmsw Counseling | Social Worker | 3280 Beltline Ne, Grand Rapids, MI 49525 | 2019-04-11 |
| 1821558958 | Mindful Trajectories | Social Worker | 3280 Beltlne Ct Ne, Grand Rapids, MI 49525 | 2019-03-24 |
| 1104380518 | Julianne Lettinga, Ma Lpc Counseling | Counselor | 3280 East Beltline Ct Ne, Grand Rapids, MI 49525 | 2019-01-30 |
| 1396227229 | Christopher Scot Doucette | Social Worker | 2064 Airway St Ne, Grand Rapids, MI 49525 | 2018-09-06 |
| 1568976017 | Amy K. Deyoung, Dds, Ms, PC Pediatric Dentistry | Dentist | 3297 Eagle Run Dr. Ne, Grand Rapids, MI 49525 | 2017-11-20 |
| 1407389604 | Kelly Jo Crabb | Social Worker | 4829 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49525 | 2017-04-05 |
| Find all providers in zip 49525 | ||||
| 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 |
|---|---|---|---|---|
| 1235755943 | Klear Counseling Pllc | Counselor | 2504 Ardmore St Se Ste 202a, Grand Rapids, MI 49506-4901 | 2020-06-18 |
| 1073149175 | Rebecca Lynn May | Counselor | 6810 Old 28th St Se Ste 4, Grand Rapids, MI 49546-6932 | 2020-03-20 |
| 1194358234 | Carrie Deering | Counselor | 2511 Sagewood Ave Ne Unit 808, Grand Rapids, MI 49525-2950 | 2020-02-18 |
| 1134764228 | Desiree D Davis | Counselor | 2730 5 Mile Rd Ne Ste 101, Grand Rapids, MI 49525-6518 | 2019-11-12 |
| 1477195246 | Epic Discoveries LLC | Counselor | 4867 E. Beltline Ave Ne, Grand Rapids, MI 49525 | 2019-10-14 |
| 1528613882 | Amanda D Stowitts | Counselor | 17 Lowell Ave Ne, Grand Rapids, MI 49503-3759 | 2019-08-05 |
| 1730664392 | Nicole K Turek | Counselor | 149 Houseman Ave Ne, Grand Rapids, MI 49503-3538 | 2018-09-30 |
| 1720583289 | Jeromy Krogman | Counselor | 826 Parchment Drive Se, Grand Rapids, MI 49546 | 2018-03-27 |
| 1922547017 | Savannah Marie Beezhold | Counselor | 1724 Sherwood Dr Se, Grand Rapids, MI 49506-5039 | 2017-02-22 |
| 1104365543 | Milinda Worley | Counselor | 648 Monroe Ave Nw Ste 100, Grand Rapids, MI 49503-6714 | 2017-02-17 |
| Find all providers in GRAND RAPIDS | ||||
| City | GRAND RAPIDS |
| Zip Code | 49525 |
Please comment or provide details below to improve the information on KRISTINE JOANN 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.