MS. CARLY MARIE HENDERSON M.A., LPC, LMHC
NPI 1194017764
Counselor - Professional in Portland, OR

Active since May 13, 2011
3407 S CORBETT AVE, PORTLAND, OR 97239(971) 270-0658(971) 244-7268 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Carly Marie Henderson M.a., Lpc, Lmhc NPPES

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

MS. CARLY MARIE HENDERSON M.A., LPC, LMHC (NPI 1194017764) is an individual professional provider in Portland, Oregon, licensed in Oregon (C3645) and active in the NPI registry since May 2011.

NPPES Registry Identity

NPI1194017764
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. CARLY MARIE HENDERSONCredential: M.A., LPC, LMHC
Location Address3407 S CORBETT AVEPortland, OR 97239-4621
Mailing Address1016 Se 12th AvePortland, OR 97214-2513 · (971) 270-0658 · Fax (971) 244-7268
Fax(971) 244-7268
Sole ProprietorNo
Enumeration DateMay 13, 2011
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1194017764 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 OR · C3645
3407 S CORBETT AVE, Portland, OR 97239

Accepted Insurance

Other Providers at the Same Location NPPES 14

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

Marriage & Family Therapist
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychiatry & Neurology (Psychiatry)
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychologist (Health Service)
3407 S CORBETT AVE
PORTLAND, OR 97239
Counselor (Professional)
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychologist (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239
Social Worker (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239
Psychologist (Clinical)
3407 S CORBETT AVE
PORTLAND, OR 97239
Nurse Practitioner (Psychiatric/Mental Health)
3407 S CORBETT AVE
PORTLAND, OR 97239

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 Carly Henderson's NPI number?

The NPI number for Carly Henderson is 1194017764. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Where is Carly Henderson located?

Carly Henderson practices at 3407 S Corbett Ave, Portland, OR 97239. The listed phone number is (971) 270-0658.

What is Carly Henderson's specialty?

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

What insurance does Carly Henderson accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., PacificSource Health Plans and Regence BlueCross BlueShield of Oregon list Carly 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 Carly Henderson was last updated on February 21, 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.