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JOHN HENDERSON CDCA
NPI 1386108066
Counselor - Addiction (Substance Use Disorder) in Fairborn, OH

Active since January 26, 2019
323 N BROAD ST, FAIRBORN, OH 45324(937) 318-8103 Get Directions Write a Review

NPPES record last updated: December 14, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 14, 2020, Jan 26, 2019 (2 updates tracked since 2019).

About John Henderson Cdca NPPES

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

JOHN HENDERSON CDCA (NPI 1386108066) is an individual addiction (substance use disorder) provider in Fairborn, Ohio, licensed in Ohio (CDCA.167280) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1386108066
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJOHN HENDERSONCredential: CDCA
Location Address323 N BROAD STFairborn, OH 45324-4934
Mailing Address2125 S Tecumseh Rd Lot 118Springfield, OH 45502-8587 · (937) 340-1141
Phone(937) 318-8103
Sole ProprietorNo
Enumeration DateJanuary 26, 2019
Last NPPES UpdateDecember 14, 20202 updates tracked since enumeration
NPPES CertifiedDecember 14, 2020
✔ NPI 1386108066 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 OH · CDCA.167280
323 N BROAD ST, Fairborn, OH 45324
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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.

MRS. ANNA MCKINNEY
Behavior Analyst
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
FAIRBORN MENTAL HEALTH LLC
Psychiatry & Neurology (Psychiatry)
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8013
MOLLIE COUNTRYMAN
Counselor (Addiction (Substance Use Disorder))
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
KARYN LEE JORDAN RBT
Behavior Technician
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
MELISSA MARIE ROOT APRN
Nurse Practitioner (Psychiatric/Mental Health)
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
STEPHANIE MARIE BLUST QMHP
Community/Behavioral Health
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
FAIRBORN MENTAL HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103
BELINDA SUE NIECE APRN-CNP
Nurse Practitioner (Psychiatric/Mental Health)
323 N BROAD ST
FAIRBORN, OH 45324
Greene County (937) 318-8103

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 John Henderson's NPI number?

The NPI number for John Henderson is 1386108066. It was assigned to this individual provider in the NPPES registry on January 26, 2019.

Where is John Henderson located?

John Henderson practices at 323 N Broad St, Fairborn, OH 45324. The listed phone number is (937) 318-8103.

What is John 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 John Henderson was last updated on December 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.