SHAUNTE HENDERSON
NPI 1417504176
Counselor - Professional in Washington, DC
About Shaunte Henderson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHAUNTE HENDERSON (NPI 1417504176) is an individual professional provider in Washington, District Of Columbia, licensed in District Of Columbia (LGPCOO572) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shaunte Henderson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Shaunte Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Washington, DC 20010
- Reassigned Medicare billing, District of Columbia enrollment
- 3,530 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WASHINGTON, DC 20019
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 Shaunte Henderson's NPI number?
The NPI number for Shaunte Henderson is 1417504176. It was assigned to this individual provider in the NPPES registry on August 19, 2019.
Where is Shaunte Henderson located?
Shaunte Henderson practices at 5300 Blaine St NE, Washington, DC 20019. The listed phone number is (202) 398-6811.
What is Shaunte Henderson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Shaunte Henderson enrolled in Medicare?
Yes. Shaunte Henderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Shaunte Henderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shaunte Henderson reassigns Medicare benefits to Medstar Medical Group II LLC (Washington, DC). The 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 Shaunte Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shaunte Henderson was last updated on August 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Shaunte Henderson · NPI 1417504176
Professional provider in Washington, District of Columbia. Individual provider, active in the CMS NPPES registry since August 19, 2019.
## Identity
- **NPI:** 1417504176 (Entity type: Individual)
- **Enumerated:** August 19, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LGPCOO572 (District of Columbia)
- **Sole proprietor:** No
## Practice location
- **Address:** 5300 BLAINE ST NE, Washington, DC 20019-6665
- **Phone:** (202) 398-6811
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Medstar Medical Group II LLC (NPI 1023836137, Washington, DC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** August 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1417504176) · Data from the CMS NPPES public registry.