MR. JUSTIN DANIEL HENDERSON (NPI# 1578709077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578709077 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN DANIEL HENDERSON |
| Credential | L.C.S.W. |
| Practice Address |
614 N Easton Rd Glenside PA 19038-4301 |
| Practice Telephone | 2158849770 |
| Mailing Telephone | 2158849770 |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2013-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
CW017781 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112138 | Justin Henderson | Nurse Practitioner | 3851 S Birch Dr, Salt Lake City, UT 84109-3742 | 2020-04-07 |
| 1871944082 | Justin William Henderson | Pharmacist | 2509 Meade Ct, Ann Arbor, MI 48105-1304 | 2016-06-29 |
| 1972809028 | Justin D Henderson | Counselor | 340 N Sam Houston Pkwy E # A165s, Houston, TX 77060 | 2011-02-08 |
| 1508199365 | Justin Eric Henderson | Nurse Practitioner | 619 Kapahulu Ave, Ph, Honolulu, HI 96815-3853 | 2009-09-11 |
| 1356951636 | Justin Francis Henderson | Case Manager/Care Coordinator | 25 W Main St, Conway, NH 03818-6142 | 2020-08-03 |
| 1194213421 | Justin Luvalle Henderson | Case Manager/Care Coordinator | 33 W 1st St Ste 100, Dayton, OH 45402-1243 | 2018-04-23 |
| 1649773037 | Justin Lance Brandon Henderson | Counselor | 1450 Main St., Weaverville, CA 96093-1640 | 2018-03-13 |
| 1588869861 | Justin L Henderson | Internal Medicine | 1 Medical Center Dr, Middletown, OH 45005 | 2007-06-18 |
| Street Address |
614 N EASTON RD |
| City | GLENSIDE |
| State | PA |
| Zip Code | 19038-4301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942298930 | Mary Kurien | Psychiatry & Neurology | 614 N Easton Rd, Glenside, PA 19038-4301 | 2005-10-12 |
| 1780985127 | Pahrtners Deaf Services, LLC | Clinic/Center | 614 N Easton Rd, Glenside, PA 19038-4301 | 2010-11-16 |
| 1619283884 | Melissa A Watson | Counselor | 614 N Easton Rd, Glenside, PA 19038-4301 | 2010-08-26 |
| 1346561511 | Deaf Services Center, LLC | Clinic/Center | 614 N Easton Rd, Glenside, PA 19038-4301 | 2010-06-22 |
| 1295059343 | Rochelle Ilene Gillis | Counselor | 614 N Easton Rd, Glenside, PA 19038-4301 | 2010-03-18 |
| 1821221441 | Anna Juliet Diaz-poore | Counselor | 614 N Easton Rd, Glenside, PA 19038-4301 | 2009-08-30 |
| 1073754206 | Paul Joseph O'rourke | Counselor | 614 N Easton Rd, Glenside, PA 19038-4301 | 2009-03-18 |
| 1558507293 | Lisa Ann Santomen Hellberg | Counselor | 614 N Easton Rd, Glenside, PA 19038-4301 | 2008-12-31 |
| 1306804224 | Growth Horizons, Inc. | Custodial Care Facility | 614 N Easton Rd, Glenside, PA 19038-4301 | 2006-05-02 |
| 1538127535 | Salisbury Behavioral Health, LLC. | Clinic/Center | 614 N Easton Rd, Glenside, PA 19038-4301 | 2006-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639723042 | Kristen Lea Badawy | Nurse Practitioner | 910 East Willow Grove, Wyndmoor, PA 19038 | 2019-07-25 |
| 1437634581 | Francis Anthony Angiolillo | Physical Therapist | 417 Montier Rd, Glenside, PA 19038 | 2018-09-25 |
| 1760972277 | Eminence Home Care LLC | In Home Supportive Care | 32541 Chestnut St, #800, Philadelphia, PA 19038 | 2018-05-10 |
| 1346764875 | Carly Michel Mcdade | Marriage & Family Therapist | 629 Bethlehem Pike, Erdenheim, PA 19038 | 2017-07-26 |
| 1639606015 | Leslie Aurino | Acupuncturist | 7817-b Queen Street, Wyndmoor, PA 19038 | 2017-05-17 |
| 1255765962 | Albert Vincent La Rocca | Dentist | 111 N. Easton Rd., Glenside, PA 19038 | 2013-08-29 |
| 1801127469 | Chestnut Hill Allergy and Asthma Associates, LLC | Internal Medicine | 8200 Flourtown Ave Ste 4, Wyndmoor, PA 19038 | 2010-01-21 |
| 1588895817 | Marie C. Kelly-tralies | Nurse Practitioner | 2704 Spear Ave, Glenside, PA 19038 | 2009-08-04 |
| 1477781946 | James P. Soulges | Family Medicine | 7607 Louise Lane, Glenside, PA 19038 | 2009-06-23 |
| 1598947038 | Barbara Carol Holder | Psychologist | 2711 West Church Road, Glenside, PA 19038 | 2007-11-27 |
| Find all providers in zip 19038 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535596 | Christine E Vincent | Counselor | 2714 Hazel Ave, Glenside, PA 19038-2409 | 2020-10-09 |
| 1205493517 | Peter Adels | Counselor | 400 Bethlehem Pike Apt 2, Glenside, PA 19038-8200 | 2019-05-22 |
| 1225431042 | Celeste Fanelli | Counselor | 410 Mount Carmel Ave, Glenside, PA 19038-3409 | 2014-10-07 |
| 1679906150 | Elizabeth Mozelle Dozier Scarborough | Counselor | 162 Bickley Rd, Apt. 2, Glenside, PA 19038-4527 | 2013-08-19 |
| 1033482252 | Eileen Anne Araco | Counselor | 2129 Kenmore Ave, Glenside, PA 19038-5317 | 2012-02-18 |
| 1790015410 | Sabina S Sloan | Counselor | 262 S Easton Rd, Box 132, Glenside, PA 19038-3901 | 2009-12-31 |
| 1770787756 | Susan Milgate Kuczura | Counselor | 654 N Easton Rd, Glenside, PA 19038-4310 | 2007-06-13 |
| 1295059343 | Rochelle Ilene Gillis | Counselor | 614 N Easton Rd, Glenside, PA 19038-4301 | 2010-03-18 |
| 1073754206 | Paul Joseph O'rourke | Counselor | 614 N Easton Rd, Glenside, PA 19038-4301 | 2009-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799733 | Traci Anne Lordan | Counselor | 1717 Newtown-langhorne Rd Suite 304, Langhorne, PA 19047 | 2020-10-29 |
| 1447850938 | Transformative Coaching and Counseling, LLC | Counselor | 1704 Marilyn Dr, Havertown, PA 19083-1220 | 2020-10-26 |
| 1528667110 | Sahra B Riccardi | Counselor | 25 S Main St Ste 6503, Yardley, PA 19067-1527 | 2020-10-23 |
| 1902405871 | Erin C Williams | Counselor | 137 Montgomery Ave Ste 105, Boyertown, PA 19512-1300 | 2020-10-21 |
| 1255930392 | The Therapy Space LLC | Counselor | 1084 E Lancaster Ave Ste 301, Bryn Mawr, PA 19010-1515 | 2020-10-20 |
| 1619576022 | Christine Cremonni | Counselor | 451 Wayne Ave, Springfield, PA 19064-2618 | 2020-10-19 |
| 1184222952 | Lynn Nicole Ackert | Counselor | 499 Bath Road, Bristol, PA 19007 | 2020-10-14 |
| 1992303846 | Colette L Bone | Counselor | 919 Godfrey Rd, Lake City, PA 16423-2110 | 2020-10-13 |
| 1245838184 | Ina Morris-robinson | Counselor | 3000 Valley Forge Cir Apt 653, King of Prussia, PA 19406-1146 | 2020-10-13 |
| 1710584149 | Emmanuel Ahia | Counselor | 1190 Waterwheel Dr, Yardley, PA 19067-4549 | 2020-10-08 |
| 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.