Dr Davetta A Henderson, PSYD, LMHC in Fort Worth, TX

Dr Davetta A Henderson, PSYD, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Fort Worth, Texas. Her current practice location is 4115 E Lancaster Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 796-7370.

Dr Davetta A Henderson is licensed to practice in Texas (license number 91192) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1164069829.

Contact Information

	Dr Davetta A Henderson, PSYD, LMHC
	4115 E Lancaster Ave, Fort Worth, TX 76103-3614
	(817) 796-7370
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Davetta A Henderson
Gender	Female
Speciality	Counselor - Mental Health
Location	4115 E Lancaster Ave, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164069829
Provider Enumeration Date: 12/02/2019
Last Update Date: 03/22/2024

Medicare PECOS Information:

PECOS PAC ID: 0941649628
Enrollment ID: I20240415000494

Medical Identifiers

Medical identifiers for Dr Davetta A Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164069829	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	39003653A (Indiana)	Secondary
101YM0800X	Counselor - Mental Health	91192 (Texas)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Davetta A Henderson allows following entities to bill medicare on her behalf.

Entity Name	Oak Street Health Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497387419 PECOS PAC ID: 2163843038 Enrollment ID: O20200601001767

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. Dr Davetta A Henderson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Davetta A Henderson, PSYD, LMHC 1800 N Meridian St Ste 505, Indianapolis, IN 46202-1433 Ph: (317) 464-3515	Dr Davetta A Henderson, PSYD, LMHC 4115 E Lancaster Ave, Fort Worth, TX 76103-3614 Ph: (817) 796-7370

Reviews and Comments

Counselor in Fort Worth, TX

Jamie L Cole, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 7th Ave, Case Management, Fort Worth, TX 76104 Phone: 682-885-3991
Ms. Yolanda Valenzuela, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 7th Ave, Fort Worth, TX 76104 Phone: 682-885-1480
Mrs. Kathleen Margaret Bass, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3901 Kirby Dr, #1014, Fort Worth, TX 76155 Phone: 817-915-0359
Felice Mayes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 W 5th St, Fort Worth, TX 76107 Phone: 817-332-6348 Fax: 817-332-6489
Jessica Batts, MA, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 Bridge St, Ste. 300, Fort Worth, TX 76112 Phone: 682-292-8413
Carrie Rimato, Counselor Medicare: Medicare Enrolled Practice Location: 9840 Gallatin Ln, Fort Worth, TX 76177 Phone: 979-236-8325
Colleen Casey Johnson, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3840 Hulen St, Fort Worth, TX 76107 Phone: 817-335-3022

Dr Davetta A Henderson, PSYD, LMHC - Medicare Counselor in Fort Worth, TX