Johnastasia Lillian Henderson, MS - Counselor in Worcester, MA

Johnastasia Lillian Henderson, MS is a Counselor - Addiction (substance Use Disorder) based in Worcester, Massachusetts. Johnastasia Lillian Henderson is licensed to practice in * (Not Available) (license number ) and her current practice location is 33 Oak Ave, Worcester, Massachusetts. She can be reached at her office (for appointments etc.) via phone at (774) 402-8800.

NPI number for Johnastasia Lillian Henderson is 1003452640 and her current mailing address is 125 Liberty St Ste 204, Springfield, Massachusetts. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003452640.

Contact Information

Johnastasia Lillian Henderson, MS
33 Oak Ave,
Worcester, MA 01605-2752
(774) 402-8800
(774) 420-2804

Map and Direction


Healthcare Provider's Profile

Full NameJohnastasia Lillian Henderson
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location33 Oak Ave, Worcester, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003452640
  • Provider Enumeration Date: 11/19/2019
  • Last Update Date: 11/19/2019

Medical Identifiers

Medical identifiers for Johnastasia Lillian Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003452640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))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. Johnastasia Lillian 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 AddressPractice Location Address
Johnastasia Lillian Henderson, MS
125 Liberty St Ste 204,
Springfield, MA 01103-1109

Ph: (413) 271-7136
Johnastasia Lillian Henderson, MS
33 Oak Ave,
Worcester, MA 01605-2752

Ph: (774) 402-8800

Reviews and Comments


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