Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Q: 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.

Q: What is Kyerra Henderson's specialty?

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

Q: 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 29 days 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.

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: August 09, 2026.

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

On this page

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.

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

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

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kyerra Henderson Ba Mhp 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.

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)