SUSAN MARTINA HENDERSON (NPI# 1538109145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538109145 |
Entity Type | Individual |
Full Name | SUSAN MARTINA HENDERSON |
Credential | RCSW |
Practice Address |
38-42 Front Street Ll Suite Binghamton NY 13905 |
Mailing Address |
Box136 26 Eaton Center 5yh Floor Norwich NY 13815 |
Practice Telephone | 8005370634 |
Practice Fax Number | 6077636471 |
Mailing Telephone | 6073345010 |
Mailing Fax Number | 6073367326 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2013-09-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | 044657 | NY | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | VALUE OPTIONS | 7487392 | 01 |
NY | MVP | 618321 | 01 |
NY | BLUE CROSS CENTRAL NY | 000122854 | 01 |
NY | CDPHP | 140732 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477026813 | Susan Elizabeth Henderson | Counselor | 2804 Lake Rd Ste 2, Huntsville, TX 77340-5626 | 2019-01-08 |
1386898849 | Susan Carol Henderson | Counselor | 550 S Watters Rd Ste 272, Allen, TX 75013-5231 | 2008-11-11 |
1306970249 | Susan Joy Henderson | Internal Medicine | Paul D Coverdell Peace Corps Hq, 2011 20th St Nw, Washington, DC 20526-0001 | 2007-03-15 |
1588629752 | Susan Carroll Henderson | Counselor | 2316 Atherholt Rd, Suite 107, Lynchburg, VA 24501-2100 | 2006-04-19 |
1649835257 | Susan Marie Henderson | Registered Nurse | 901 12th Ave, Seattle, WA 98122-4411 | 2019-05-08 |
1356856397 | Susan K Henderson | Behavior Technician | 1363 Douglas Dr Ste 104, Traverse City, MI 49696-8980 | 2017-12-13 |
1881036739 | Susan C Henderson | Speech-Language Pathologist | 3001 W Blue Starr Dr, Claremore, OK 74017-2544 | 2013-07-19 |
1225310402 | Susan K Henderson | Counselor | 403 E Madison St, South Bend, IN 46617-2322 | 2011-09-14 |
1477834935 | Susan Beth Henderson | Pharmacist | 1991 E Apple Ave, Muskegon, MI 49442-4246 | 2011-08-29 |
1861790347 | Susan Jean Henderson | Massage Therapist | 511 E Magnolia St, Suite 200, Bellingham, WA 98225-4559 | 2011-03-07 |
Street Address |
38-42 FRONT STREET LL SUITE |
City | BINGHAMTON |
State | NY |
Zip Code | 13905 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689222820 | Pamela K Wheaton | Counselor | 40 Front Sreet, Suite K, Binghamton, NY 13905 | 2019-08-30 |
1417422593 | Justin William Arnold | Massage Therapist | 1235 Front St, Suite 4, Binghamton, NY 13905 | 2018-10-04 |
1366886632 | Lalor Family Dental Pllc | Dentist | 1216 Upper Front Street, Binghamton, NY 13905 | 2013-04-17 |
1699015172 | Radharani Mohanty | Pediatrics | 1 Ely Park Blvd - M4, Binghamton, NY 13905 | 2013-02-21 |
1710260344 | Michelle L. Rease | Registered Nurse | 40 Front St. Suite C, C/o Riverside Anesthesia, Binghamton, NY 13905 | 2011-09-20 |
1508173337 | John D Newman | Registered Nurse | 169 Riverside Dr., Our Lady of Lourdes Hospital, Binghamton, NY 13905 | 2010-08-31 |
1073758330 | Jennifer Lynn Kolesar | Pharmacist | Cvs Pharmacy 68 Main St., Binghamton, NY 13905 | 2008-12-15 |
1245355155 | Tara Jayant Belsare | Psychiatry & Neurology | 38 Riverside Drive, Binghamton, NY 13905 | 2007-03-20 |
1659411866 | State of New York | Intermediate Care Facility, Mentally Retarded | Glenwood Rd, Binghamton, NY 13905 | 2007-02-07 |
1528133956 | Judith Tanzer | Social Worker | 35 Front Street, Binghamton, NY 13905 | 2006-11-21 |
Find all providers in zip 13905 |
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 |
---|---|---|---|---|
1891005799 | Kimberly Bradford Mclain | Counselor | 10 Taft Ave, Binghamton, NY 13901-1929 | 2010-10-14 |
1881205557 | Softiya Umar | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2020-08-14 |
1356976781 | Molly Soljan | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2020-03-05 |
1740831676 | Holly Demaine | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2019-09-23 |
1558915561 | Kurtis Ellison | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2019-07-29 |
1851945265 | Abbey David | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2019-07-25 |
1144881087 | Kassidy Shea | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2019-06-21 |
1457914400 | Samantha Lee Lopez | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2019-04-16 |
1316404023 | Patricia Noble | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2019-02-28 |
1730646092 | Erica Gardner | Counselor | 257 Main St, Binghamton, NY 13905-2522 | 2019-02-22 |
Find all providers in BINGHAMTON |
City | BINGHAMTON |
Zip Code | 13905 |
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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.