MRS. CAROL HENDERSON LICDC
NPI 1780036079
Counselor - Addiction (Substance Use Disorder) in Cortland, OH

Active since July 11, 2016
3194 DEER TRL UNIT B, CORTLAND, OH 44410(330) 502-8875 Get Directions Write a Review

NPPES record last updated: January 28, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 28, 2022, Jul 30, 2018, Jul 11, 2016 (3 updates tracked since 2016).

About Mrs. Carol Henderson Licdc NPPES

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

MRS. CAROL HENDERSON LICDC (NPI 1780036079) is an individual addiction (substance use disorder) provider in Cortland, Ohio, licensed in Ohio (LICDC933722) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1780036079
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMRS. CAROL HENDERSONCredential: LICDC
Location Address3194 DEER TRL UNIT BCortland, OH 44410-9113
Mailing Address3194 Deer Trl Unit BCortland, OH 44410-9113 · (330) 502-8875
Sole ProprietorYes
Enumeration DateJuly 11, 2016
Last NPPES UpdateJanuary 28, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2022
NPI 1780036079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in OH · LICDC933722
Also ListedSocial WorkerTaxonomy 104100000X · License S0013966 (OH)
3194 DEER TRL UNIT B, Cortland, OH 44410

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 Carol Henderson's NPI number?

The NPI number for Carol Henderson is 1780036079. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Where is Carol Henderson located?

Carol Henderson practices at 3194 Deer Trl Unit B, Cortland, OH 44410. The listed phone number is (330) 502-8875.

What is Carol Henderson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Carol Henderson was last updated on January 28, 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.