DR. DAVETTA A HENDERSON PSYD, LMHC
NPI 1164069829
Counselor - Mental Health in Fort Worth, TX
About Dr. Davetta A Henderson Psyd, Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVETTA A HENDERSON PSYD, LMHC (NPI 1164069829) is an individual mental health provider in Fort Worth, Texas, licensed in Texas (91192) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Indianapolis.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Davetta A Henderson Psyd, Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT WORTH, TX 76103
FORT WORTH, TX 76103
FORT WORTH, TX 76103
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 Davetta Henderson's NPI number?
The NPI number for Davetta Henderson is 1164069829. It was assigned to this individual provider in the NPPES registry on December 2, 2019. The provider is also known as Dr. Davetta A Carlisle Carlisle.
Where is Davetta Henderson located?
Davetta Henderson practices at 4115 E Lancaster Ave, Fort Worth, TX 76103. The listed phone number is (817) 796-7370.
What is Davetta Henderson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Davetta Henderson enrolled in Medicare?
Yes. Davetta Henderson is registered in the Medicare PECOS enrollment system.
What insurance does Davetta Henderson accept?
Health plans from Blue Cross and Blue Shield of Kansas, Inc., Blue Cross and Blue Shield of Texas, Providence Health Plan, UnitedHealthcare and WellPoint list Davetta 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 Davetta Henderson was last updated on March 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Davetta A Henderson, PSYD, LMHC · NPI 1164069829
Mental Health provider in Fort Worth, Texas. Individual provider, active in the CMS NPPES registry since December 2, 2019.
## Identity
- **NPI:** 1164069829 (Entity type: Individual)
- **Enumerated:** December 2, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 91192 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 4115 E LANCASTER AVE, Fort Worth, TX 76103-3614
- **Phone:** (817) 796-7370
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** March 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164069829) · Data from the CMS NPPES public registry.