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AMANI QUINTESSENCE HENDERSON
NPI 1043703754
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since June 08, 2018PECOS EnrolledAccepts Medicare Assignment
2369 2ND AVE, NEW YORK, NY 10035(212) 876-2300(212) 722-7618 Get Directions Write a Review

NPPES record last updated: June 8, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amani Quintessence Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANI QUINTESSENCE HENDERSON (NPI 1043703754) is an individual addiction (substance use disorder) provider in New York, New York and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Mercy College (2018).

NPPES Registry Identity

NPI1043703754
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameAMANI QUINTESSENCE HENDERSON
Location Address2369 2ND AVENew York, NY 10035-3108
Mailing Address2369 2nd AveNew York, NY 10035-3108 · (212) 876-2300 · Fax (212) 722-7618
Phone(212) 876-2300
Fax(212) 722-7618
Sole ProprietorNo
Medical School CMSMercy CollegeGraduated 2018
Enumeration DateJune 8, 2018
✔ NPI 1043703754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
2369 2ND AVE, New York, NY 10035
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amani Quintessence Henderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264872803
PECOS Enrollment IDI20240430003804
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARIAN SHAFIR-LIDERGOT CASAC-T
Counselor (Addiction (Substance Use Disorder))
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
QUANEISHA BOONE BA
Social Worker
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
KATHARINE FRANCES IRVIN LMSW
Social Worker
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
REBECCA SEGARRA
Licensed Practical Nurse
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
ALISON AGVENT
Counselor (Addiction (Substance Use Disorder))
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
MS. TAMIKA NICOLE LONDON
Counselor (Mental Health)
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
FRANCESCA CESTRA CASAC-T
Counselor (Addiction (Substance Use Disorder))
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300
JESSICA L HALPERN
Licensed Practical Nurse
2369 2ND AVE
NEW YORK, NY 10035
New York County (212) 876-2300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amani Henderson's NPI number?

The NPI number for Amani Henderson is 1043703754. It was assigned to this individual provider in the NPPES registry on June 8, 2018.

Where is Amani Henderson located?

Amani Henderson practices at 2369 2nd Ave, New York, NY 10035. The listed phone number is (212) 876-2300.

What is Amani Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Amani Henderson enrolled in Medicare?

Yes. Amani Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Amani Henderson was last updated on June 8, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.