MR. ETHAN SHANE HENNESEY LPC-S
NPI 1760249361
Counselor - Mental Health in Richmond, TX
About Mr. Ethan Shane Hennesey Lpc-s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. ETHAN SHANE HENNESEY LPC-S (NPI 1760249361) is an individual mental health provider in Richmond, Texas, licensed in Texas (13364) and active in the NPI registry since March 2024. He has opted out of Medicare through March 3, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Mr. Ethan Shane Hennesey Lpc-s has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from March 3, 2024 through March 3, 2028.
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 Ethan Hennesey's NPI number?
The NPI number for Ethan Hennesey is 1760249361. It was assigned to this individual provider in the NPPES registry on March 1, 2024.
Where is Ethan Hennesey located?
Ethan Hennesey practices at 406 Edgewood Dr, Richmond, TX 77406. The listed phone number is (281) 726-3027.
What is Ethan Hennesey's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Ethan Hennesey enrolled in Medicare?
No. Ethan Hennesey has opted out of Medicare through March 3, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Ethan Hennesey was last updated on March 1, 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.
# Mr. Ethan Shane Hennesey, LPC-S · NPI 1760249361
Mental Health provider in Richmond, Texas. Individual provider, active in the CMS NPPES registry since March 1, 2024.
## Identity
- **NPI:** 1760249361 (Entity type: Individual)
- **Enumerated:** March 1, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 13364 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 406 EDGEWOOD DR, Richmond, TX 77406-4010
- **Phone:** (281) 726-3027
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through March 3, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** March 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1760249361) · Data from the CMS NPPES public registry.