Ms Jennifer Beth Henderson, MA ATR LCPC is a
Art Therapist based in Broadview, Illinois. Ms Jennifer Beth Henderson is licensed to practice in Illinois (license number ) and her current practice location is
2235 S 10th Ave, Broadview, Illinois. She can be reached at her office (for appointments etc.) via phone at
(773) 405-2696.
NPI number for Ms Jennifer Beth Henderson is 1861594095 and her current mailing address is 2235 S 10th Ave, Broadview, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1861594095.
Healthcare Provider's Profile
Full Name | Ms Jennifer Beth Henderson |
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Gender | Female |
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Speciality | Art Therapist |
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Location | 2235 S 10th Ave, Broadview, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861594095
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Jennifer Beth Henderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861594095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (Illinois) | Primary |
221700000X | Art Therapist | (Illinois) | 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. Ms Jennifer Beth 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 |
Ms Jennifer Beth Henderson, MA ATR LCPC 2235 S 10th Ave, Broadview, IL 60155-4027 Ph: (773) 405-2696 | Ms Jennifer Beth Henderson, MA ATR LCPC 2235 S 10th Ave, Broadview, IL 60155-4027 Ph: (773) 405-2696 |
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