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KYERRA HENDERSON BA MHP
NPI 1578041729
Social Worker in Cairo, IL

Active since July 31, 2018PECOS Enrolled
1401 WASHINGTON AVE, CAIRO, IL 62914(618) 734-2664(618) 734-1999 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 15, 2026, Jul 8, 2026, Jul 31, 2018 (3 updates tracked since 2018).

About Kyerra Henderson Ba Mhp NPPES

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

KYERRA HENDERSON BA MHP (NPI 1578041729) is an individual social worker in Cairo, Illinois and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578041729
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKYERRA HENDERSONCredential: BA MHP
Location Address1401 WASHINGTON AVECairo, IL 62914-1810
Mailing Address1401 Washington AveCairo, IL 62914-1810 · (618) 734-2664 · Fax (618) 734-1999
Phone(618) 734-2664
Fax(618) 734-1999
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 31, 2018
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
✔ NPI 1578041729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 149031998 (IL)
1401 WASHINGTON AVE, Cairo, IL 62914
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6608331103
PECOS Enrollment IDI20260724000389
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 Kyerra Henderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Aldad Medical PC
465 mi
Psychiatry
200 S 1ST ST
Ann Arbor, MI 48104
  • Reassigned Medicare billing, Illinois enrollment
  • 17 clinicians in this Medicare group
NPI 1174784953 (516) 505-7200

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 20

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

MARVA PURCHASE BS MHP
Counselor (Mental Health)
1401 WASHINGTON AVE
CAIRO, IL 62914
Alexander County (618) 734-2665
ARROWLEAF
Clinic/Center (Mental Health (Including Community Mental Health Center))
1401 WASHINGTON AVE
CAIRO, IL 62914
Alexander County (618) 734-2665
ROSE GRUNDY BA/MHP
Counselor (Mental Health)
1401 WASHINGTON AVE
CAIRO, IL 62914
Alexander County (618) 734-2665
RASHELLE BROWN BS MHP
Counselor (Mental Health)
1401 WASHINGTON AVE
CAIRO, IL 62914
Alexander County (618) 734-2665
MARCELLA FULLILOVE MS QMHP
Counselor (Mental Health)
1401 WASHINGTON AVE
CAIRO, IL 62914
Alexander County (618) 734-2665
LOLITA HOUSTON BA, MHP
Counselor (Mental Health)
1401 WASHINGTON AVE
CAIRO, IL 62914
Alexander County (618) 734-2665
KARA GOODMAN BS MHP
Counselor (Mental Health)
1401 WASHINGTON AVE
CAIRO, IL 62914
Alexander County (618) 734-2665
CHARLETTE JACKSON
Counselor (Mental Health)
1401 WASHINGTON AVE
CAIRO, IL 62914
Alexander County (618) 734-2665

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 Kyerra Henderson's NPI number?

The NPI number for Kyerra Henderson is 1578041729. It was assigned to this individual provider in the NPPES registry on July 31, 2018.

Where is Kyerra Henderson located?

Kyerra Henderson practices at 1401 Washington Ave, Cairo, IL 62914. The listed phone number is (618) 734-2664.

What is Kyerra Henderson's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kyerra Henderson enrolled in Medicare?

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

Which organization bills Medicare for Kyerra Henderson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kyerra Henderson reassigns Medicare benefits to Aldad Medical PC (Ann Arbor, MI). 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 Kyerra Henderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kyerra Henderson accept?

Health plans from Oscar Health list Kyerra Henderson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kyerra Henderson was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.