MS. MARTINA HENDERSON (NPI# 1760944201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760944201 |
| Entity Type | Individual |
| Full Name | MS. MARTINA HENDERSON |
| Practice Address |
860 E River Pl 100 Jackson MS 39202 |
| Mailing Address |
860 E River Pl Jackson MS 39202-3442 |
| Practice Telephone | 7692515550 |
| Mailing Telephone | 7692515550 |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 860 E River Pl Ste 100, Jackson, MS 39202 | 7692515550 |
| Street Address |
860 E RIVER PL 100 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1417501693 | Latanya Cork | Counselor | 860 E River Pl, Jackson, MS 39202-3442 | 2019-07-26 |
| 1215594064 | Nakisha Feaster | Social Worker | 860 E River Pl, Jackson, MS 39202-3442 | 2019-05-28 |
| 1447733100 | Skyla D Mitchell | Case Manager/Care Coordinator | 860 E River Pl, Jackson, MS 39202-3442 | 2018-09-10 |
| 1275050015 | Jamela Kentoyia Mcinnis | Social Worker | 860 E River Pl, Jackson, MS 39202-3442 | 2017-08-23 |
| 1598291429 | Devorah Thomas | Case Manager/Care Coordinator | 860 E River Pl, Suite 100, Jackson, MS 39202-3442 | 2017-05-11 |
| 1962943340 | Morgan Brown | Social Worker | 860 E River Pl, Suite 100, Jackson, MS 39202-3442 | 2017-03-17 |
| 1265973655 | Lakeisha Bryant | Counselor | 860 E River Pl, Suite 100, Jackson, MS 39202-3442 | 2017-03-17 |
| 1396196879 | Mississippi Behavioral Health Services, LLC | Community/Behavioral Health | 860 E River Pl, Suite 100, Jackson, MS 39202-3442 | 2016-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| 1902027428 | Jennifer Anne Warren | Dietitian, Registered | 1225 North State Street, Jackson, MS 39202 | 2007-05-01 |
| Find all providers in zip 39202 | ||||
| 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 |
|---|---|---|---|---|
| 1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
| 1457986390 | Comfort Zone Counseling LLC | Counselor | 209 E Washington Ave Ste 330-d, Jackson, MI 49201-2393 | 2020-03-11 |
| 1255976825 | April Sue Montague | Counselor | 401 S Mechanic St, Jackson, MI 49201-2350 | 2019-11-07 |
| 1851950356 | Trunorth Counseling, Pllc | Counselor | 1312 Warren Ave, Upper Level, Rm #1, Jackson, MI 49203-3732 | 2019-06-08 |
| 1083176218 | Mindful Solutions, LLC | Counselor | 4500 I 55 N Ste 230, Jackson, MS 39211-5930 | 2019-04-05 |
| 1841757630 | Susan E Cumings | Counselor | 2811 W Morrell St, Jackson, MI 49203-2643 | 2019-02-27 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1619448669 | Toby Ribiat | Counselor | 10 Partree Rd, Jackson, NJ 08527-1710 | 2018-12-16 |
| 1679077242 | Lifespring Counseling Services | Counselor | 2938 E Michigan Ave, Jackson, MI 49202-3846 | 2018-03-20 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| Find all providers in JACKSON | ||||
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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.