Antoine Maurice Henderson, is a
Peer Specialist based in Columbus, Ohio. Antoine Maurice Henderson is licensed to practice in Ohio (license number APS.005688) and his current practice location is
815 W Broad St Ste 200, Columbus, Ohio. He can be reached at his office (for appointments etc.) via phone at
(216) 302-5757.
NPI number for Antoine Maurice Henderson is 1619773538 and his current mailing address is 744 Nova Ct, Worthington, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619773538.
Healthcare Provider's Profile
| Full Name | Antoine Maurice Henderson |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 815 W Broad St Ste 200, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619773538
- Provider Enumeration Date: 02/21/2025
- Last Update Date: 12/12/2025
Medical Identifiers
Medical identifiers for Antoine Maurice Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619773538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA191060 (Ohio) | Secondary |
| 175T00000X | Peer Specialist | APS.005688 (Ohio) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Antoine Maurice Henderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Antoine Maurice Henderson,
744 Nova Ct,
Worthington, OH 43085-3474
Ph: (216) 302-5757 | Antoine Maurice Henderson,
815 W Broad St Ste 200,
Columbus, OH 43222-1465
Ph: (216) 302-5757 |
Reviews and Comments