LAQUINTHA CHANETTE HENDERSON PMHNP
NPI 1174216907
Nurse Practitioner - Psychiatric/Mental Health in Little Rock, AR

Active since May 29, 2023PECOS EnrolledAccepts Medicare Assignment
3001 W ROOSEVELT RD, LITTLE ROCK, AR 72204(501) 340-6646(501) 375-4129 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 18, 2024, Jul 25, 2023, May 29, 2023 (3 updates tracked since 2023).

About Laquintha Chanette Henderson Pmhnp NPPES

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

LAQUINTHA CHANETTE HENDERSON PMHNP (NPI 1174216907) is an individual psychiatric/mental health provider in Little Rock, Arkansas, licensed in Arkansas (223807) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1174216907
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLAQUINTHA CHANETTE HENDERSONCredential: PMHNP
Location Address3001 W ROOSEVELT RDLittle Rock, AR 72204-5658
Mailing Address4301 W Markham St # 783Little Rock, AR 72205-7101 · (501) 686-8000 · Fax (501) 526-5148
Fax(501) 375-4129
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 29, 2023
Last NPPES UpdateJune 18, 20243 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
NPI 1174216907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in AR · 223807
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 223807 (AR)
3001 W ROOSEVELT RD, Little Rock, AR 72204

Secondary Practice Locations 2

Location 1513 Main Street Bldg #1North Little Rock, AR 72114 · Phone (870) 317-7485
Location 24301 W Markham St # 783Little Rock, AR 72205-7101 · Phone (501) 686-8000 · Fax (501) 526-5148

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 and accepts Medicare assignment

Laquintha Chanette Henderson Pmhnp 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 ID5991249385
PECOS Enrollment IDI20240626002561
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Social Worker (Clinical)
3001 W ROOSEVELT RD
LITTLE ROCK, AR 72204
Social Worker (Clinical)
3001 W ROOSEVELT RD
LITTLE ROCK, AR 72204
Psychiatric Unit
3001 W ROOSEVELT RD
LITTLE ROCK, AR 72204
Social Worker (Clinical)
3001 W ROOSEVELT RD
LITTLE ROCK, AR 72204
Social Worker
3001 W ROOSEVELT RD
LITTLE ROCK, AR 72204

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 Laquintha Henderson's NPI number?

The NPI number for Laquintha Henderson is 1174216907. It was assigned to this individual provider in the NPPES registry on May 29, 2023.

Where is Laquintha Henderson located?

Laquintha Henderson practices at 3001 W Roosevelt Rd, Little Rock, AR 72204. The listed phone number is (501) 340-6646.

What is Laquintha Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Laquintha Henderson enrolled in Medicare?

Yes. Laquintha 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.

What insurance does Laquintha Henderson accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage, Octave and Providence Health Plan list Laquintha 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 Laquintha Henderson was last updated on June 18, 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.