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MS. KYWINA MARIE HENDERSON FNP, PMHNP-BC
NPI 1609079839
Nurse Practitioner - Psychiatric/Mental Health in Sherman Oaks, CA

Active since June 06, 2007PECOS EnrolledAccepts Medicare Assignment
13425 VENTURA BLVD STE 201, SHERMAN OAKS, CA 91423(818) 305-6061 Get Directions Write a Review

NPPES record last updated: June 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kywina Marie Henderson Fnp, Pmhnp-bc NPPES

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

MS. KYWINA MARIE HENDERSON FNP, PMHNP-BC (NPI 1609079839) is an individual psychiatric/mental health provider in Sherman Oaks, California, licensed in California (17177) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1609079839
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. KYWINA MARIE HENDERSONCredential: FNP, PMHNP-BC
Location Address13425 VENTURA BLVD STE 201Sherman Oaks, CA 91423-3974
Mailing Address1609 Vermont PlPomona, CA 91768-1461 · (909) 788-4638
Phone(818) 305-6061
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJune 6, 2007
Last NPPES UpdateJune 21, 2022
NPPES CertifiedApril 20, 2022
✔ NPI 1609079839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 17177
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 17177 (CA)
13425 VENTURA BLVD STE 201, Sherman Oaks, CA 91423
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Kywina Marie Cannon Fnp, Pmhnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Regence BlueCross BlueShield of Oregon.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Kywina Marie Henderson Fnp, Pmhnp-bc 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.

PECOS PAC ID7911388053
PECOS Enrollment IDI20241022004770
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
67 services14 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

JAVA PSYCHIATRY INC
Psychiatry & Neurology (Neurology)
13425 VENTURA BLVD STE 201
SHERMAN OAKS, CA 91423
Los Angeles County (818) 305-6061
DANNA L ENGELBERG PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
13425 VENTURA BLVD STE 201
SHERMAN OAKS, CA 91423
Los Angeles County (818) 305-6061
KENNETH LEE MOSS CATC NO. 218978 III
Counselor (Addiction (Substance Use Disorder))
13425 VENTURA BLVD STE 201
SHERMAN OAKS, CA 91423
Los Angeles County (818) 523-0025
DR. NEDA JAVAHERIAN M.D
Psychiatry & Neurology (Psychiatry)
13425 VENTURA BLVD STE 201
SHERMAN OAKS, CA 91423
Los Angeles County (818) 469-1391

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 Kywina Henderson's NPI number?

The NPI number for Kywina Henderson is 1609079839. It was assigned to this individual provider in the NPPES registry on June 6, 2007. The provider is also known as Mrs. Kywina Marie Cannon Fnp, Pmhnp.

Where is Kywina Henderson located?

Kywina Henderson practices at 13425 Ventura Blvd Ste 201, Sherman Oaks, CA 91423. The listed phone number is (818) 305-6061.

What is Kywina Henderson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kywina Henderson enrolled in Medicare?

Yes. Kywina 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.

What insurance does Kywina Henderson accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Kywina 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 Kywina Henderson was last updated on June 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.