ALICIA HENDERSON (NPI# 1689207052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689207052 |
| Entity Type | Individual |
| Full Name | ALICIA HENDERSON |
| Practice Address |
301 S Gallaher View Rd Ste 300 Knoxville TN 37919-5370 |
| Mailing Address |
2101 Magnolia Ave S Ste 518 Birmingham AL 35205-2853 |
| Practice Telephone | 8656939326 |
| Practice Fax Number | 8656939536 |
| Mailing Telephone | 2052448134 |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
4749 | TN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | STATE OF TENNESSEE | LPC4749 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235792623 | Alicia Henderson | Speech-Language Pathologist | 1254 N L St, Aberdeen, WA 98520-1761 | 2019-04-21 |
| 1285133561 | Alicia Henderson | Behavior Technician | 100 E Main St Ste A, Stanton, MI 48888-9687 | 2018-02-01 |
| 1366830796 | Alicia A Henderson | Psychologist | 1355 N University Ave, Provo, UT 84604-2721 | 2015-01-08 |
| 1609160845 | Alicia Henderson | Anesthesiology | 3401 Civic Center Blvd Ste 9329, Philadelphia, PA 19104-4319 | 2011-06-06 |
| 1053565598 | Alicia Yvette Henderson | Social Worker | 160 W 86th St, New York, NY 10024-4018 | 2008-11-11 |
| 1275725285 | Alicia Henderson | Specialist/Technologist | 2045 Peachtree Rd Ne, Ste 700, Atlanta, GA 30309-1414 | 2007-08-14 |
| Street Address |
301 S GALLAHER VIEW RD STE 300 |
| City | KNOXVILLE |
| State | TN |
| Zip Code | 37919-5370 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679621049 | Addiction & Mental Health Services, LLC | Substance Abuse Rehabilitation Facility | 301 S Gallaher View Rd Ste 300, Knoxville, TN 37919-5370 | 2007-01-08 |
| 1124177787 | Michael Maurer | Social Worker | 301 S Gallaher View Rd Ste 300, Knoxville, TN 37919-5370 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760099188 | Edp Biotech Corporation | Clinical Medical Laboratory | 6701 Baum Dr, Suite 110, Knoxville, TN 37919 | 2020-09-29 |
| 1649836248 | Jessica Diane Moody | Counselor | 6070 Lyons View Pike, Knoxville, TN 37919 | 2019-05-20 |
| 1952802571 | Maisie Drew Buckner | Physical Therapist | 301 S Gallaher View Rd Ste 105, Knoxville, TN 37919 | 2018-02-28 |
| 1992217400 | Jay S. Desvaux, D.d.s. | Dentist | 6311 Kingston Pike #27w, Knoxville, TN 37919 | 2017-10-25 |
| 1346768975 | Marilyn Lee | Occupational Therapist | 7014 Lawford Road, Knoxville, TN 37919 | 2017-09-04 |
| 1558884254 | Jck Holdings LLC | Family Medicine | 2270 Sutherland Avenue, Knoxville, TN 37919 | 2017-07-25 |
| 1295255503 | Emily M King | Marriage & Family Therapist | 131 N. Concord St, Knoxville, TN 37919 | 2017-06-27 |
| 1487105128 | Kathleen Rachelle Matteson | Physician Assistant | 2461 University Commons Way, Knoxville, TN 37919 | 2016-10-18 |
| 1689046161 | Meagan Lynn Ogunrinde | Registered Nurse | 265 Brockview Centre Way, Suite 400, Knoxville, TN 37919 | 2015-10-23 |
| 1720467624 | Chizoba Ngesina | Emergency Medicine | Teamhealth, 265 Brookview Centre Way Suite 400, Knoxville, TN 37919 | 2015-05-26 |
| Find all providers in zip 37919 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407454291 | Candis Maria Cochran | Counselor | 10740 Faith Promise Ln, Knoxville, TN 37931-1304 | 2020-10-14 |
| 1508471798 | Stephanie Mclain Wasserman | Counselor | 10411 Kates Path Ln, Knoxville, TN 37932-1574 | 2020-09-14 |
| 1639703747 | Catherine Ellen Hallam | Counselor | 408 N Cedar Bluff Rd Ste 305, Knoxville, TN 37923-3648 | 2020-02-27 |
| 1073144507 | Amy Lynn Dilworth | Counselor | 8700 Trapper Ln, Knoxville, TN 37931-4258 | 2020-02-03 |
| 1942792130 | Shannon Susanne Mcbride | Counselor | 8848 Cedar Springs Ln Ste 201, Knoxville, TN 37923-5416 | 2018-06-04 |
| 1487144283 | Wiest-barbian Counseling and Consulting LLC | Counselor | 1400 N 6th Ave, Knoxville, TN 37917-6043 | 2018-05-16 |
| 1043713985 | Lakshmi Rekha Subbanna | Counselor | 714 Fox Landing Ln, Knoxville, TN 37922-8306 | 2018-03-16 |
| 1245733401 | Amy L. Skinner | Counselor | 10426 Jackson Oaks Way Ste 102, Knoxville, TN 37922-0709 | 2018-03-14 |
| 1194227843 | Tracy Marie Serrano | Counselor | 9724 Kingston Pike Ste 605, Knoxville, TN 37922-6900 | 2018-03-07 |
| 1811499841 | Jeffery Cockerham | Counselor | 5364 N Broadway St, Knoxville, TN 37918-3238 | 2018-03-06 |
| Find all providers in KNOXVILLE | ||||
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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.