1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Peer Specialist
  6. NPI Profile

JAKARA HENDERSON
NPI 1164235644
Peer Specialist in Dallas, TX

Active since January 29, 2025
1610 S MALCOLM X BLVD STE 320, DALLAS, TX 75226(409) 597-5673 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jakara Henderson NPPES

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

JAKARA HENDERSON (NPI 1164235644) is an individual peer specialist in Dallas, Texas and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1164235644
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJAKARA HENDERSON
Location Address1610 S MALCOLM X BLVD STE 320Dallas, TX 75226-2100
Mailing Address608 S Mckinney StMexia, TX 76667-3644 · (409) 597-5673
Phone(409) 597-5673
Sole ProprietorYes
Enumeration DateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1164235644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.

1610 S MALCOLM X BLVD STE 320, Dallas, TX 75226
Open in Google Maps ↗

Other Names 1

Other Name (5)Jakara Mardis

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Jakara Henderson's NPI number?

The NPI number for Jakara Henderson is 1164235644. It was assigned to this individual provider in the NPPES registry on January 29, 2025. The provider is also known as Jakara Mardis.

Where is Jakara Henderson located?

Jakara Henderson practices at 1610 S Malcolm X Blvd Ste 320, Dallas, TX 75226. The listed phone number is (409) 597-5673.

What is Jakara 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 Jakara Henderson was last updated on January 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.