EBONIE NICOLE HENDERSON
NPI 1730367616
Social Worker - Clinical in Tigard, OR

Active since February 04, 2008PECOS EnrolledAccepts Medicare Assignment
7100 SW HAMPTON ST STE 223, TIGARD, OR 97223(503) 342-2510 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2023, Mar 3, 2021 (2 updates tracked since 2021).

About Ebonie Nicole Henderson NPPES

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

EBONIE NICOLE HENDERSON (NPI 1730367616) is an individual clinical provider in Tigard, Oregon, licensed in North Carolina (C006788) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1730367616
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameEBONIE NICOLE HENDERSON
Location Address7100 SW HAMPTON ST STE 223Tigard, OR 97223-8364
Mailing Address7100 Sw Hampton St Ste 223Tigard, OR 97223-8364 · (503) 342-2510
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 4, 2008
Last NPPES UpdateMarch 25, 20242 updates tracked since enumeration
NPPES CertifiedMarch 25, 2024
NPI 1730367616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · C006788
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
7100 SW HAMPTON ST STE 223, Tigard, OR 97223

Accepted 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

Ebonie Nicole Henderson 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 ID6406016492
PECOS Enrollment IDI20180725001482, I20220503002080
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

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, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
145 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97223 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
$0.00 typical visit price
range $58.99 – $176.88
Typical copayment $0.00 (range $14.74 – $44.22)
Most-billed visit code NA
Established Patient
$73.28 typical visit price
range $19.32 – $144.79
Typical copayment $18.32 (range $4.83 – $36.19)
Most-billed visit code 99213
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 5

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

Social Worker (Clinical)
7100 SW HAMPTON ST STE 223
TIGARD, OR 97223
Social Worker (Clinical)
7100 SW HAMPTON ST STE 223
TIGARD, OR 97223
Social Worker (Clinical)
7100 SW HAMPTON ST STE 223
TIGARD, OR 97223
Social Worker (Clinical)
7100 SW HAMPTON ST STE 223
TIGARD, OR 97223
Marriage & Family Therapist
7100 SW HAMPTON ST STE 223
TIGARD, OR 97223

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 Ebonie Henderson's NPI number?

The NPI number for Ebonie Henderson is 1730367616. It was assigned to this individual provider in the NPPES registry on February 4, 2008.

Where is Ebonie Henderson located?

Ebonie Henderson practices at 7100 SW Hampton St Ste 223, Tigard, OR 97223. The listed phone number is (503) 342-2510.

What is Ebonie Henderson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Ebonie Henderson enrolled in Medicare?

Yes. Ebonie 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 Ebonie Henderson accept?

Health plans from BridgeSpan Health Company, Kaiser Permanente, Moda Health Plan, Inc., Premera Blue Cross Blue Shield of Alaska and Regence BlueCross BlueShield of Oregon list Ebonie 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 Ebonie Henderson was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.