ALICIA HENDERSON
NPI 1689207052
Counselor - Professional in Parrish, FL

Active since February 13, 2020PECOS Enrolled
3322 WOODMONT DR, PARRISH, FL 34219(865) 805-1766 Get Directions Write a Review

NPPES record last updated: March 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 15, 2026, Feb 13, 2020 (2 updates tracked since 2020).

About Alicia Henderson NPPES

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

ALICIA HENDERSON (NPI 1689207052) is an individual professional provider in Parrish, Florida, licensed in Tennessee (4749) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1689207052
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameALICIA HENDERSON
Location Address3322 WOODMONT DRParrish, FL 34219-1658
Mailing Address3322 Woodmont DrParrish, FL 34219-1658 · (865) 805-1766
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 13, 2020
Last NPPES UpdateMarch 15, 20262 updates tracked since enumeration
NPPES CertifiedMarch 15, 2026
NPI 1689207052 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 TN · 4749
3322 WOODMONT DR, Parrish, FL 34219

Other Identifiers 1

OtherLPC4749TN · State Of Tennessee

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

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

PECOS PAC ID7719462845
PECOS Enrollment IDI20260528000363
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.

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 Alicia Henderson's NPI number?

The NPI number for Alicia Henderson is 1689207052. It was assigned to this individual provider in the NPPES registry on February 13, 2020.

Where is Alicia Henderson located?

Alicia Henderson practices at 3322 Woodmont Dr, Parrish, FL 34219. The listed phone number is (865) 805-1766.

What is Alicia Henderson's specialty?

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

Is Alicia Henderson enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Alicia Henderson was last updated on March 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.