SUSAN K HENDERSON LAC
NPI 1225310402
Counselor - Addiction (Substance Use Disorder) in South Bend, IN

Active since September 14, 2011
403 E MADISON ST, SOUTH BEND, IN 46617(574) 283-1234(574) 283-1131 Get Directions Write a Review

NPPES record last updated: September 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Susan K Henderson Lac NPPES

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

SUSAN K HENDERSON LAC (NPI 1225310402) is an individual addiction (substance use disorder) provider in South Bend, Indiana, licensed in Indiana (86000033A) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1225310402
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSUSAN K HENDERSONCredential: LAC
Location Address403 E MADISON STSouth Bend, IN 46617-2322
Mailing AddressPo Box 809Goshen, IN 46527-0809 · (574) 533-1234 · Fax (574) 537-2652
Fax(574) 283-1131
Sole ProprietorNo
Enumeration DateSeptember 14, 2011
NPI 1225310402 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in IN · 86000033A
403 E MADISON ST, South Bend, IN 46617

Other Providers at the Same Location NPPES 20

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

Social Worker
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Psychologist (Clinical Child & Adolescent)
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617
Counselor
403 E MADISON ST
SOUTH BEND, IN 46617
Social Worker (Clinical)
403 E MADISON ST
SOUTH BEND, IN 46617

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 Susan Henderson's NPI number?

The NPI number for Susan Henderson is 1225310402. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Susan Henderson located?

Susan Henderson practices at 403 E Madison St, South Bend, IN 46617. The listed phone number is (574) 283-1234.

What is Susan Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Susan Henderson was last updated on September 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.