TRACY RENEE HENDERSON (NPI# 1861046179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861046179 |
| Entity Type | Individual |
| Full Name | TRACY RENEE HENDERSON |
| Practice Address |
2659 Sw 4th St Ste 102 Redmond OR 97756-6406 |
| Practice Telephone | 5415166330 |
| Practice Fax Number | 5415166331 |
| Mailing Telephone | 5415166330 |
| Mailing Fax Number | 5415166331 |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518468347 | Tracy Lee Henderson | Speech-Language Pathologist | 11600 Holman Ridge Rd, Glen Allen, VA 23059-5661 | 2018-02-27 |
| 1235535873 | Tracy Ann Henderson | Case Manager/Care Coordinator | 3222 N 37th St, Phoenix, AZ 85018-6304 | 2014-11-10 |
| 1700292638 | Tracy Henderson | Counselor | 1836 Westlake Ave N Ste 105, Seattle, WA 98109-2779 | 2014-07-11 |
| Street Address |
2659 SW 4TH ST STE 102 |
| City | REDMOND |
| State | OR |
| Zip Code | 97756-6406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760891832 | Elizabeth Mae Smith | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2014-08-04 |
| 1134773443 | Courtney Carroll | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756-6406 | 2019-07-25 |
| 1619538915 | Ashley Ryan Wolf | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756-6406 | 2019-06-26 |
| 1306325378 | Anna Kleinert | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756-6406 | 2018-08-10 |
| 1225531320 | Clara Nell Hanson I | Community/Behavioral Health | 2659 Sw 4th St Ste 102, Redmond, OR 97756-6406 | 2018-03-14 |
| 1750884854 | Jae Ellen Marciano | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756-6406 | 2018-03-14 |
| 1679025530 | Teleah Ringhand | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756-6406 | 2016-10-26 |
| 1114477973 | Ashley Ann Clary | Counselor | 2659 Sw 4th St Ste 102, Redmond, OR 97756 | 2016-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679083349 | Vicki Rae Morris | Foster Care Agency | 3585 Sw 35th St., Redmond, OR 97756 | 2017-10-06 |
| 1275066417 | Norco, Inc | Durable Medical Equipment & Medical Supplies | 655 Nw Jackpine Ave, Redmond, OR 97756 | 2017-04-05 |
| 1750778015 | Kelly Gobler | Occupational Therapy Assistant | 3000 Sw 32nd Street, The Heights Assisted Living, Redmond, OR 97756 | 2015-04-23 |
| 1912303934 | Andrea Adams | Pharmacist | 944 Sw Veterans Way, Redmond, OR 97756 | 2014-11-18 |
| 1649670365 | Advantage Dental Clinics LLC | Dentist | 442 Sw Umatilla Ave., Suite 200, Redmond, OR 97756 | 2014-08-29 |
| 1700296837 | Heather A Ahlf | Physician Assistant | 1245 Nw Canal Blvd, Redmond, OR 97756 | 2014-04-29 |
| 1306289277 | Asa Racquel Aramburo | Social Worker | 203 Sw 8th St., Redmond, OR 97756 | 2013-04-10 |
| 1427396969 | Alison Elizabeth Jackson | Pharmacist | 944 Sw 9th Street, Redmond, OR 97756 | 2013-01-17 |
| 1083964449 | Julie C Plachta | Mechanotherapist | 654 Nw 4th Street, Redmond, OR 97756 | 2012-09-13 |
| 1942559026 | Kristin Kay Morris | Hearing Instrument Specialist | 106 Sw 7th Street, Redmond, OR 97756 | 2012-09-05 |
| Find all providers in zip 97756 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871190900 | Gianni Elizabeth | Counselor | 1655 Sw Highland Ave Ste 5, Redmond, OR 97756-2558 | 2020-10-01 |
| 1790398212 | Tiffany Stadler | Counselor | 3361 Sw Xero Ct, Redmond, OR 97756-0321 | 2020-08-25 |
| 1871124024 | Judith Lorae Thomas | Counselor | 8301 161st Ave Ne Ste 202, Redmond, WA 98052-3858 | 2020-01-27 |
| 1619523248 | Jennifer Mckague, Lpc, Lcc | Counselor | 2775 Sw 17th Pl Ste 7, Redmond, OR 97756-1254 | 2019-08-09 |
| 1134687254 | Shawn Reese | Counselor | 676 Ne Maple Ave, Redmond, OR 97756-8527 | 2019-03-07 |
| 1659836278 | Brooke Lundquist | Counselor | 16705 Ne 79th St, Redmond, WA 98052-4425 | 2019-02-07 |
| 1629553961 | Alfredo Lee Guzman | Counselor | 15600 Redmond Way Ste 102, Redmond, WA 98052-3862 | 2018-10-02 |
| 1700303872 | Aldon Schwimmer | Counselor | 11333 204th Ave Ne, Redmond, WA 98053-5107 | 2017-08-29 |
| 1073043915 | Randall Scott Krieger | Counselor | 852 Sw 15th St, Redmond, OR 97756-2507 | 2017-06-14 |
| 1689022071 | Ishani Grover | Counselor | 8250 165th Ave Ne Ste 210, Redmond, WA 98052-6628 | 2016-05-26 |
| Find all providers in REDMOND | ||||
Please comment or provide details below to improve the information on TRACY RENEE 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.