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KOURTENI HENDERSON
NPI 1568958486
Counselor - Mental Health in Shreveport, LA

Active since July 03, 2018PECOS Enrolled
2100 E 70TH ST STE A, SHREVEPORT, LA 71105(318) 227-4999 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 13, 2023, Jul 3, 2018 (2 updates tracked since 2018).

About Kourteni Henderson NPPES

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

KOURTENI HENDERSON (NPI 1568958486) is an individual mental health provider in Shreveport, Louisiana, licensed in Louisiana (7792) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568958486
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKOURTENI HENDERSON
Location Address2100 E 70TH ST STE AShreveport, LA 71105-5363
Mailing Address2100 E 70th St Ste AShreveport, LA 71105-5363 · (318) 227-4999
Phone(318) 227-4999
Sole ProprietorYes
Enumeration DateJuly 3, 2018
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1568958486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in LA · 7792
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
2100 E 70TH ST STE A, Shreveport, LA 71105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kourteni Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Talkspace Provider Network PA
1,235 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Louisiana enrollment
  • 14 clinicians in this Medicare group
NPI 1639814049 (212) 284-7206

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.

STAR WILLIAMS
Case Manager/Care Coordinator
2100 E 70TH ST STE A
SHREVEPORT, LA 71105
Caddo Parish (318) 227-4999
DANIEL CORONA
Case Manager/Care Coordinator
2100 E 70TH ST STE A
SHREVEPORT, LA 71105
Caddo Parish (318) 227-4999
MS. KELLIE LYNN SPEED
Case Manager/Care Coordinator
2100 E 70TH ST STE A
SHREVEPORT, LA 71105
Caddo Parish (318) 227-4999
GEORGINA KATYUSCA MALDONADO
Case Manager/Care Coordinator
2100 E 70TH ST STE A
SHREVEPORT, LA 71105
Caddo Parish (318) 227-4999
KIRA PRESLEY
Case Manager/Care Coordinator
2100 E 70TH ST STE A
SHREVEPORT, LA 71105
Caddo Parish (318) 227-4999
MS. ISABELLA RAQUEL SELLERS
Case Manager/Care Coordinator
2100 E 70TH ST STE A
SHREVEPORT, LA 71105
Caddo Parish (318) 227-4999
MRS. KATELYN WYATT PINE BA
Case Manager/Care Coordinator
2100 E 70TH ST STE A
SHREVEPORT, LA 71105
Caddo Parish (318) 227-4999
HANDS OF HOPE BEHAVIORAL HEALTH, LLC.
Community/Behavioral Health
2100 E 70TH ST STE A
SHREVEPORT, LA 71105
Caddo Parish (318) 227-4999

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 Kourteni Henderson's NPI number?

The NPI number for Kourteni Henderson is 1568958486. It was assigned to this individual provider in the NPPES registry on July 3, 2018.

Where is Kourteni Henderson located?

Kourteni Henderson practices at 2100 E 70th St Ste A, Shreveport, LA 71105. The listed phone number is (318) 227-4999.

What is Kourteni Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Kourteni Henderson enrolled in Medicare?

Yes. Kourteni Henderson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kourteni Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kourteni Henderson reassigns Medicare benefits to Talkspace Provider Network PA (New York, NY). 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 Kourteni 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 Kourteni Henderson was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.