JONETTA HENDERSON
NPI 1063389518
Peer Specialist in Woodland, CA

Active since October 20, 2025
137 N COTTONWOOD ST, WOODLAND, CA 95695(530) 312-5127(530) 312-5127 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jonetta Henderson NPPES

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

JONETTA HENDERSON (NPI 1063389518) is an individual peer specialist in Woodland, California, licensed in California (MPSS-BLMFTD) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1063389518
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJONETTA HENDERSON
Location Address137 N COTTONWOOD STWoodland, CA 95695-6646
Mailing Address137 N Cottonwood StWoodland, CA 95695-6646 · (530) 312-5127 · Fax (530) 312-5127
Fax(530) 312-5127
Sole ProprietorNo
Enumeration DateOctober 20, 2025
Last NPPES UpdateNovember 6, 2025
NPPES CertifiedNovember 6, 2025
NPI 1063389518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-BLMFTD
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
137 N COTTONWOOD ST, Woodland, CA 95695

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.

Psychologist (Clinical)
137 N COTTONWOOD ST
WOODLAND, CA 95695
Registered Nurse
137 N COTTONWOOD ST
WOODLAND, CA 95695
Marriage & Family Therapist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Day Training/Habilitation Specialist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Marriage & Family Therapist
137 N COTTONWOOD ST
WOODLAND, CA 95695
Counselor (Mental Health)
137 N COTTONWOOD ST
WOODLAND, CA 95695
Social Worker
137 N COTTONWOOD ST, STE 1540
WOODLAND, CA 95695
Marriage & Family Therapist
137 N COTTONWOOD ST
WOODLAND, CA 95695

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 Jonetta Henderson's NPI number?

The NPI number for Jonetta Henderson is 1063389518. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Jonetta Henderson located?

Jonetta Henderson practices at 137 N Cottonwood St, Woodland, CA 95695. The listed phone number is (530) 312-5127.

What is Jonetta Henderson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jonetta Henderson was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.