THOMAS JOSEPH HENNEBERRY IV
NPI 1386120855
Counselor in Rockford, IL

Active since July 17, 2018
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 332-8003 Get Directions Write a Review

NPPES record last updated: July 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Joseph Henneberry Iv NPPES

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

THOMAS JOSEPH HENNEBERRY IV (NPI 1386120855) is an individual counselor in Rockford, Illinois and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1386120855
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameTHOMAS JOSEPH HENNEBERRY IV
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address1021 N Mulford RdRockford, IL 61107-3877
Sole ProprietorNo
Enumeration DateJuly 17, 2018
NPI 1386120855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
8616 NORTHERN AVE, Rockford, IL 61107

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.

Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Nurse Practitioner (Psychiatric/Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107

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 Thomas Henneberry's NPI number?

The NPI number for Thomas Henneberry is 1386120855. It was assigned to this individual provider in the NPPES registry on July 17, 2018.

Where is Thomas Henneberry located?

Thomas Henneberry practices at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 332-8003.

What is Thomas Henneberry's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Thomas Henneberry was last updated on July 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.