MR. RONALD HENDERSON LPCC-SUPV
NPI 1053772467
Counselor - Professional in Orient, OH

Active since March 11, 2016PECOS EnrolledAccepts Medicare Assignment
9085 SOUTHERN ST, ORIENT, OH 43146(216) 468-5000 Get Directions Write a Review

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2026, May 7, 2026 (2 updates tracked since 2026).

About Mr. Ronald Henderson Lpcc-supv NPPES

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

MR. RONALD HENDERSON LPCC-SUPV (NPI 1053772467) is an individual professional provider in Orient, Ohio, licensed in Ohio (E.0900632-SUPV) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Columbus, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1053772467
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. RONALD HENDERSONCredential: LPCC-SUPV
Location Address9085 SOUTHERN STOrient, OH 43146-9360
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 11, 2016
Last NPPES UpdateJuly 16, 20262 updates tracked since enumeration
NPPES CertifiedJuly 16, 2026
✔ NPI 1053772467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OH · E.0900632-SUPV
9085 SOUTHERN ST, Orient, OH 43146

Secondary Practice Location 1

Location 1765 Pierce DrColumbus, OH 43223-2425 · Phone (614) 223-1650 ext. 328

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Ronald Henderson Lpcc-supv 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 ID6305302878
PECOS Enrollment IDI20260727001103
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.

Medicare Billing Reassignment

Medicare enrollment records show Ronald Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
25101 CHAGRIN BLVD STE 100
Beachwood, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 713 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
9085 SOUTHERN ST
ORIENT, OH 43146
Social Worker (Clinical)
9085 SOUTHERN ST
ORIENT, OH 43146
Psychologist
9085 SOUTHERN ST, SUITE 100
ORIENT, OH 43146
Nurse Practitioner (Psychiatric/Mental Health)
9085 SOUTHERN ST
ORIENT, OH 43146
Social Worker (Clinical)
9085 SOUTHERN ST
ORIENT, OH 43146
Social Worker (Clinical)
9085 SOUTHERN ST, SUITE 100
ORIENT, OH 43146
Nurse Practitioner (Psychiatric/Mental Health)
9085 SOUTHERN ST
ORIENT, OH 43146
Clinic/Center (Health Service)
9085 SOUTHERN ST, BERGER MEDICAL CENTER AT S. R. 104, SUITE D
ORIENT, OH 43146

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 Ronald Henderson's NPI number?

The NPI number for Ronald Henderson is 1053772467. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Where is Ronald Henderson located?

Ronald Henderson practices at 9085 Southern St, Orient, OH 43146. The listed phone number is (216) 468-5000.

What is Ronald Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Ronald Henderson enrolled in Medicare?

Yes. Ronald 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.

Which organization bills Medicare for Ronald Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ronald Henderson reassigns Medicare benefits to Psychological & Behavioral Consultants, LLC (Beachwood, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ronald Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ronald Henderson accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Ronald Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ronald Henderson was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.