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ANNE A. HENDERSON, INC.
NPI 1205044294
Psychologist - Counseling in Brookhaven, MS

Active since May 21, 2007
115 N CLEVELAND AVE, BROOKHAVEN, MS 39601(601) 835-3306(601) 835-3342 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Anne A. Henderson, Inc. NPPES

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

ANNE A. HENDERSON, INC. (NPI 1205044294) is a healthcare organization registered as a counseling in Brookhaven, Mississippi and active in the NPI registry since May 2007. The organization lists Anne A Henderson, President, as its authorized official.

NPPES Registry Identity

NPI1205044294
Entity TypeOrganization
Primary Taxonomy103TC1900X
Legal Business NameANNE A. HENDERSON, INC.
Location Address115 N CLEVELAND AVEBrookhaven, MS 39601-2713
Mailing Address311 Natchez AveBrookhaven, MS 39601-4055 · (601) 835-5068 · Fax (601) 835-3342
Phone(601) 835-3306
Fax(601) 835-3342
Organization SubpartNo
Authorized OfficialAnne A HendersonPresident · (601) 835-3306
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1205044294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · CounselingBehavioral Health & Social Service Providers
Taxonomy Code103TC1900X
License✔ Licensed in MS · 30444
Definition
A psychologist who specializes in general practice and health service. It focuses on how people function both personally and in their relationships at all ages. Counseling psychology addresses the emotional, social, work, school and physical health concerns people may have at different stages in their lives, focusing on typical life stresses and more severe issues with which people may struggle as individuals and as a part of families, groups and organizations. Counseling psychologists help people with physical, emotional and mental health issues improve their sense of well-being, alleviate feelings of distress and resolve crises. They also provide assessment, diagnosis, and treatment of more severe psychological symptoms.
115 N CLEVELAND AVE, Brookhaven, MS 39601
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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

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Anne A. Henderson, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMississippiEnrollment IDO20070612000686Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Anne A. Henderson, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Anne Henderson, PH.D.
Clinical Psychologist
NPI 1306877675
115 N CLEVELAND AVE
Brookhaven, MS 39601
(601) 835-3306
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Anne A. Henderson, Inc.'s NPI number?

The NPI number for Anne A. Henderson, Inc. is 1205044294. It was assigned to this organization in the NPPES registry on May 21, 2007.

Where is Anne A. Henderson, Inc. located?

Anne A. Henderson, Inc. is located at 115 N Cleveland Ave, Brookhaven, MS 39601. The listed phone number is (601) 835-3306.

What is Anne A. Henderson, Inc.'s specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Counseling, with taxonomy code 103TC1900X.

Is Anne A. Henderson, Inc. enrolled in Medicare?

Yes. Anne A. Henderson, Inc. is registered in the Medicare PECOS enrollment system.

When is Anne A. Henderson, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Mississippi, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Anne A. Henderson, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Anne A. Henderson, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Anne A. Henderson, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.