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MRS. SHAN GARRETT HENDERSON LPC
NPI 1629392923
Counselor - Professional in Jonesboro, AR

Active since March 16, 2010
1815 PLEASANT GROVE RD, JONESBORO, AR 72401(870) 933-6886(870) 933-9395 Get Directions Write a Review

NPPES record last updated: May 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2018, Feb 26, 2016 (2 updates tracked since 2016).

About Mrs. Shan Garrett Henderson Lpc NPPES

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

MRS. SHAN GARRETT HENDERSON LPC (NPI 1629392923) is an individual professional provider in Jonesboro, Arkansas, licensed in Arkansas (P1304035) and active in the NPI registry since March 2010.

NPPES Registry Identity

NPI1629392923
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. SHAN GARRETT HENDERSONCredential: LPC
Location Address1815 PLEASANT GROVE RDJonesboro, AR 72401-7870
Mailing Address1815 Pleasant Grove RdJonesboro, AR 72401-7870 · (870) 933-6886 · Fax (870) 933-9395
Phone(870) 933-6886
Fax(870) 933-9395
Sole ProprietorNo
Enumeration DateMarch 16, 2010
Last NPPES UpdateMay 14, 20182 updates tracked since enumeration
✔ NPI 1629392923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P1304035
1815 PLEASANT GROVE RD, Jonesboro, AR 72401
Open in Google Maps ↗

Other Identifiers 1

Medicaid171944795AR

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.

SARAH LYNN MATTHEWS MHPP
Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
ALISON JOHNSON CPS, ADC
Case Manager/Care Coordinator
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
RONALD ALLEN YOUNG II LCSW
Social Worker (Clinical)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
JOSHUA NEELEY
Specialist
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
MRS. AMBER BROOKE WEAVER LCSW
Social Worker (Clinical)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
JANET STEWART RN
Registered Nurse
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
TINA VANESSA BAILEY LPC
Counselor (Professional)
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886
MR. DAVID A SHADE M.S., LPE-I
Psychologist
1815 PLEASANT GROVE RD
JONESBORO, AR 72401
Craighead County (870) 933-6886

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 Shan Henderson's NPI number?

The NPI number for Shan Henderson is 1629392923. It was assigned to this individual provider in the NPPES registry on March 16, 2010.

Where is Shan Henderson located?

Shan Henderson practices at 1815 Pleasant Grove Rd, Jonesboro, AR 72401. The listed phone number is (870) 933-6886.

What is Shan Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Shan Henderson was last updated on May 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.